Evidence map›Paper›PMID 34340533›Full record

ArticleBone & joint research2021

Improving the cementation of the tibial component in knee arthroplasty : a study of four techniques in the cadaver.

Juan Ramón Rodríguez-Collell, Damian Mifsut, Amparo Ruiz-Sauri, Luis Rodríguez-Pino, Eva María González-Soler, Alfonso Amador Valverde-Navarro

Abstract read
In one paragraph

Article in Bone & joint research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. 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 · 2025
    Article
  3. Article
  4. 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 · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Juan Ramón Rodríguez-CollellDepartment of Human Anatomy and Embryology, University of Valencia, Valencia, Spain.
Damian MifsutDepartment of Surgery, University of Valencia, Valencia, Spain.ORCID https://orcid.org/0000-0003-1852-8439
Amparo Ruiz-SauriDepartment of Pathology, University of Valencia, Valencia, Spain.
Luis Rodríguez-PinoDepartment of Surgery, University of Valencia, Valencia, Spain.ORCID https://orcid.org/0000-0001-9245-1607
Eva María González-SolerDepartment of Human Anatomy and Embryology, University of Valencia, Valencia, Spain.
Alfonso Amador Valverde-NavarroDepartment of Human Anatomy and Embryology, University of Valencia, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe main objective of this study is to analyze the penetration of bone cement in four different full cementation techniques of the tibial tray.

methodsIn order to determine the best tibial tray cementation technique, we applied cement to 40 cryopreserved donor tibiae by four different techniques: 1) double-layer cementation of the tibial component and tibial bone with bone restrictor; 2) metallic cementation of the tibial component without bone restrictor; 3) bone cementation of the tibia with bone restrictor; and 4) superficial bone cementation of the tibia and metallic keel cementation of the tibial component without bone restrictor. We performed CT exams of all 40 subjects, and measured cement layer thickness at both levels of the resected surface of the epiphysis and the endomedular metaphyseal level.

resultsAt the epiphyseal level, Technique 2 gave the greatest depth compared to the other investigated techniques. At the endomedular metaphyseal level, Technique 1 showed greater cement penetration than the other techniques.

conclusionThe best metaphyseal cementation technique of the tibial component is bone cementation with cement restrictor. Additionally, if full tibial component cementation is to be done, the cement volume used should be about 40 g of cement, and not the usual 20 g. Cite this article:

Indexed as

bone cementbone plugsCementation techniquesepiphysisknee arthroplastymetaphysistibial bonetibial componentstibial tray’sTotal knee arthroplastytourniquetst-test

Identifiers

PMID34340533
PMCPMC8414436

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Registered trials

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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.