ArticleClinical orthopaedics and related research2013
Short-keeled cemented tibial components show an increased risk for aseptic loosening.
Article in Clinical orthopaedics and related research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Tibial stem extension versus standard configuration in primary cemented total knee arthroplasty: systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- No difference between mobile and fixed bearing in primary total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- The Impact of Cementing Techniques on Implant Longevity in Relation to Keel Length in Persona and NexGen Knee Arthroplasty: A Comprehensive Study.Arthroplasty today · 2025Article
- Passive Biotelemetric Detection of Tibial Debonding in Wireless Battery-Free Smart Knee Implants.Sensors (Basel, Switzerland) · 2024Article
- Comparative retrieval analysis of a novel anatomic tibial tray backside: alterations in tibial component design and surface coating can increase cement adhesions and surface roughness.BMC musculoskeletal disorders · 2022Article
- Does tibial design modification improve implant stability for total knee arthroplasty? An experimental cadaver study.Bone & joint research · 2022Article
- A comparative prospective study between stemmed versus an unstemmed tibial component in total knee arthroplasty in obese patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Does Knee Prosthesis Survivorship Improve When Implant Designs Change? Findings from the Australian Orthopaedic Association National Joint Replacement Registry.Clinical orthopaedics and related research · 2020Article
- CORR Insights®: Higher Risk of Loosening for a Four-Pegged TKA Tibial Baseplate Than for a Stemmed One: A Register-based Study.Clinical orthopaedics and related research · 2020Article
- Analysis of the Attune tibial tray backside: A comparative retrieval study.Bone & joint research · 2019Article
- Prophylactic Tibial Stem Fixation in the Obese: Comparative Early Results in Primary Total Knee Arthroplasty.Knee surgery & related research · 2018Article
- Early aseptic loosening of a mobile-bearing total knee replacement.Acta orthopaedica · 2018Article
- The effect of obesity on mechanical failure after total knee arthroplasty.Annals of translational medicine · 2015Article
- The effect of implant size difference on patient outcomes and failure after bilateral simultaneous total knee arthroplasty.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe choice of implant design plays an important role for primary fixation of a TKA. Short-keeled tibial components allow implantation through a smaller approach with less femorotibial subluxation. QUESTIONS/PURPOSES: The purpose of this study was to detect early implant failure resulting from aseptic loosening after cemented short-keeled and standard tibial baseplate implantation.
methodsBetween 2008 and 2010, a group of 160 consecutive patients (with 80 standard and with 80 short-keeled tibial trays) received cemented TKAs. At 1-year followup, patients were examined clinically and radiographs were analyzed regarding aspects of radiolucency. The components were divided into five zones on each radiographic view and the measurements of the 10 zones were added.
resultsThe mean sum of radiolucencies was increased significantly with the short-keeled baseplates. In the current study, short-keeled tibial trays revealed a revision rate of 6.3% after 1-year followup. In contrast, none of the standard tibial baseplates were revised.
conclusionsThe implantation of cemented, short-keeled tibial components is linked to an increased rate of early loosening. Therefore, the indication for cemented, short-keeled component implantation should be reviewed. LEVEL OF EVIDENCE: Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.