ArticleBone & joint research2019
Analysis of the Attune tibial tray backside: A comparative retrieval study.
Article in Bone & joint research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- No difference in clinical outcome but in RSA in total knee arthroplasty with the ATTUNE vs. the PFC Sigma: a randomized trial with 2-year follow-up.Acta orthopaedica · 2023Trial
- A randomized controlled trial comparing tibial migration of the ATTUNE cemented cruciate-retaining knee prosthesis with the PFC-sigma design.The bone & joint journal · 2020Trial
- Early tibial loosening in the Attune total knee arthroplasty system: a retrieval analysis of clinical, demographic, and implant-related factors.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Low Rates of Early Aseptic Loosening of the Cemented Attune S+ Total Knee Arthroplasty System.Cureus · 2025Article
- The incidence of radiolucent lines in cemented attune total knee arthroplasty- a retrospective clinical and radiological study.Archives of orthopaedic and trauma surgery · 2025Article
- Retrieval analysis in total knee arthroplasty.World journal of orthopedics · 2025Review
- Double-Butter: A Cementation Technique That Significantly Reduces Lipid Contamination of the Tibial Baseplate in Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Is there an increased revision rate due to early tibial component loosening with a modern total knee arthroplasty design? A retrospective analysis from a large volume arthroplasty centre.Arthroplasty (London, England) · 2024Article
- Passive Biotelemetric Detection of Tibial Debonding in Wireless Battery-Free Smart Knee Implants.Sensors (Basel, Switzerland) · 2024Article
- Application of bone cement directly to the implant in primary total knee arthroplasty. Short-term radiological and clinical follow-up of two different cementing techniques.Archives of orthopaedic and trauma surgery · 2024Article
- Does lucency equate to revision? A five-year retrospective review of Attune and Triathlon total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Local Periarticular Infiltration with Dexmedetomidine Results in Superior Patient Well-Being after Total Knee Arthroplasty Compared with Peripheral Nerve Blocks: A Randomized Controlled Clinical Trial with a Follow-Up of Two Years.Journal of clinical medicine · 2023Article
- Tibial Baseplate-Cement Interface Debonding in the ATTUNE Total Knee Arthroplasty System.Arthroplasty today · 2022Article
- 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
- Article
- Improving the cementation of the tibial component in knee arthroplasty : a study of four techniques in the cadaver.Bone & joint research · 2021Article
- Metal ion toxicity : is it still a problem in 2021?Bone & joint research · 2021Article
- A three-dimensional finite element analysis on the effects of implant materials and designs on periprosthetic tibial bone resorption.PloS one · 2021Article
- No difference in radiolucent lines after TKA: a matched-pair analysis of the classic implant and its evolutional design.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe Attune total knee arthroplasty (TKA) has been used in over 600 000 patients worldwide. Registry data show good clinical outcome; however, concerns over the cement-tibial interface have been reported. We used retrieval analysis to give further insight into this controversial topic.
methodsWe examined 12 titanium (Ti) PFC Sigma implants, eight cobalt-chromium (CoCr) PFC Sigma implants, eight cobalt-chromium PFC Sigma rotating platform (RP) implants, and 11 Attune implants. We used a peer-reviewed digital imaging method to quantify the amount of cement attached to the backside of each tibial tray. We then measured: 1) the size of tibial tray thickness, tray projections, peripheral lips, and undercuts; and 2) surface roughness (Ra) on the backside and keel of the trays. Statistical analyses were performed to investigate differences between the two designs.
resultsThere was no evidence of cement attachment on any of the 11 Attune trays examined. There were significant differences between Ti and CoCr PFC Sigma implants and Attune designs (p < 0.05); however, there was no significant difference between CoCr PFC Sigma RP and Attune designs (p > 0.05). There were significant differences in the design features between the investigated designs (p < 0.05).
conclusionThe majority of the earliest PFC Sigma designs showed evidence of cement, while all of the retrieved Attune trays and the majority of the RP PFC trays in this study had no cement attached. This may be attributable to the design differences of these implants, in particular in relation to the cement pockets. Our results may help explain a controversial aspect related to cement attachment in a recently introduced TKA design.
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