ArticleActa orthopaedica2019
Cementing technique for primary knee arthroplasty: a scoping review.
Article in Acta orthopaedica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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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
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Who cites it
27 citing papers in PubMed, 41 citations in OpenAlex.
- The technique of cement application has no influence on cement intrusion in total knee arthroplasty: randomized study comparing three different techniques.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- Cement compression device for cemented total knee arthroplasty : a randomized controlled trial.Bone & joint open · 2026Article
- Cement mantle thickness in total knee arthroplasty more closely associated with tibial bone density than cement viscosity : findings from a randomized controlled trial.Bone & joint open · 2026Article
- Effect of high-pressure pulsatile lavage versus manual rinsing on bone cement penetration in total knee arthroplasty: a randomized clinical trial.Knee surgery & related research · 2025Article
- Robotic-assisted burr preparation significantly improves cement penetration but not immediate fixation strength in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Association of tourniquet use on short-term implant survival after primary total knee arthroplasty: a study of 24,249 knees from the Norwegian Arthroplasty Register.Acta orthopaedica · 2025Article
- Higher bone cement volume in total knee arthroplasty lowers the risk of postoperative radiolucent lines.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Creating Perforations in the Sclerotic Region of the Proximal Tibia During Total Knee Arthroplasty to Enhance Prosthesis Stability.Orthopaedic surgery · 2025Article
- Variations in bone mineral density after joint replacement: A systematic review examining different anatomical regions, fixation techniques and implant design.Journal of experimental orthopaedics · 2025Review
- 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
- Impact of saline irrigation on the early mechanical characteristics and microstructure of bone cement.Scientific reports · 2024Article
- Does the clinical and radiologic outcomes following total knee arthroplasty using a new design cobalt-chrome tibial plate or predecessor different?Knee surgery & related research · 2024Article
- Comparison of different cementing techniques for cement penetration under tibial component in total knee arthroplasty: a retrospective observational study.Knee surgery & related research · 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
- Technical Properties and Biological Safety of Reprocessing Technique for a Handpiece of Disposable Pulsatile Lavage Device: An Experimental Study.Malaysian orthopaedic journal · 2024Article
- Pulsed lavage is associated with better quality of bone-cement-implant interface in knee arthroplasties (TKA/UKA) compared to syringe lavage in vitro; however, clinical data are missing: A systematic review.Journal of experimental orthopaedics · 2024Review
- [The third-generation modern cementing technique in hip and knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2023Review
- Cementing techniques for total knee arthroplasty in Norwegian hospitals; a questionnaire-based study.BMC musculoskeletal disorders · 2023Article
- Hybrid fixation of unicompartmental knee arthroplasty shows equivalent short-term implant survivorship and clinical scores compared to standard fixation techniques.Archives of orthopaedic and trauma surgery · 2023Article
- Arthroscopic-assisted robotic bi-unicompartmental knee arthroplasty: a pilot cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - The optimal cementing technique for primary total knee arthroplasty (TKA) remains unclear. We therefore performed a scoping review based on available studies regarding cementation technique in primary TKA and unicondylar knee arthroplasty (UKA).Patients and methods - A search in 3 databases identified 1,554 studies. The inclusion criteria were literature that studied cementing technique in primary TKA or UKA. This included cement application methods, full or surface cementing, applying cement to the bone and/or prosthesis, stabilization of the implant during curing phase, bone irrigation technique, drilling holes in the bone, use of suction, and the timing of cementation. 57 studies met the inclusion criteria.Results - The evidence was unanimously in favor of pulsatile lavage irrigation, drying the bone, and drilling holes into the tibia during a TKA. All studies concerning suction recommended it during TKA cementation. 7 out of 11 studies favored the use of a cement gun and no studies showed that finger packing was statistically significantly better than using a cement gun. There is evidence that full cementation should be used if metal-backed tibial components are used. Applying the cement to both implant and bone seems to give better cement penetration.Interpretation - There are still many knowledge gaps regarding cementing technique in primary TKA. There seems to be sufficient evidence to recommend pulsatile lavage irrigation of the bone, drilling multiple holes, and drying the bone before cementing and implant insertion, and applying cement to both implant and on the bone.
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Registered trials
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