ArticleArthroplasty today2022
Tibial Baseplate-Cement Interface Debonding in the ATTUNE Total Knee Arthroplasty System.
Article in Arthroplasty today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Alignment strategy does not confer clinically meaningful advantages in medial pivot total knee arthroplasty: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Comparison of revision rates and epidemiological data of a single total knee arthroplasty system of different designs (cruciate retaining, posterior stabilized, mobile bearing, and fixed bearing): a meta-analysis and systematic review of clinical trials and national arthroplasty registries.Archives of orthopaedic and trauma surgery · 2024Pooled it
- 5-year migration and inducible displacement of the uncemented LCS and ATTUNE rotating platform knee systems: a secondary report of a randomized controlled RSA trial.Acta orthopaedica · 2025Trial
- Consequences of using poly-ether-ether-ketone versus traditional implant on tibial cement penetration and short-term clinical outcomes during total knee arthroplasty: a randomized controlled trial.Journal of orthopaedic surgery and research · 2023Trial
- A study of 500 consecutive Attune knee implants, assessing early outcomes and failure rates, a single surgeon, non-design centre study.Journal of orthopaedic surgery and research · 2026Article
- Gait-to-Contact (G2C): A Novel Deep Learning Framework to Predict Total Knee Replacement Wear from Gait Patterns.Annals of biomedical engineering · 2026Article
- Surgeon Learning Curve With Selection of New Total Knee Arthroplasty Implants and Risk of Revision: A Registry-Based Cohort Study.The Permanente journal · 2025Article
- 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
- 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
- The incidence of radiolucent lines in cemented attune total knee arthroplasty- a retrospective clinical and radiological study.Archives of orthopaedic and trauma surgery · 2025Article
- Is Wear Still a Concern in Total Knee Arthroplasty With Contemporary Conventional and Highly Crosslinked Polyethylene Tibial Inserts in the mid- to Long-Term?Arthroplasty today · 2024Article
- Uncemented Total Knee Arthroplasty is on the Rise. A Report of Patient Demographics and Short-Term Outcomes From the Michigan Arthroplasty Registry Collaborative Quality Initiative.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
- Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Acrylic bone cement is the most common method of fixation for primary total knee arthroplasty (TKA). Several studies have described good short-term outcomes; however, there have been reports of early failures due to tibial baseplate debonding at the implant-cement interface of The ATTUNE Knee System (DePuy Synthes, West Chester, PA). We examined the causes and rates of revision in patients who underwent TKA with this system to identify factors associated with this mode of early failure. Methods: A retrospective review of electronic health records between 2013 and 2018 identified all patients undergoing TKA with the ATTUNE Knee System with a minimum 2-year follow-up. Cause of revision, patient, implant, instrumentation, cement, and surgeon variables were collected. A descriptive analysis was used to identify characteristics of surgeon (fellowship-trained, surgical volume), implant (baseplate, bearing), and cement (brand, viscosity) that were associated with aseptic loosening. Results: A total of 668 patients representing 742 knees were identified. Eighteen (2.4%) required a revision surgery. Aseptic loosening was the leading cause of revision surgery (n = 10, 55.6%). All failures due to aseptic loosening involved debonding of the tibial implant-cement interface. A multivariate analysis identified low-volume surgeons (9.0%, Conclusions: This study represents the largest nonregistry review of the original ATTUNE Knee System. Surgeon case volume and cement viscosity were factors associated with an increased rate of early failure due to tibial baseplate implant-cement interface debonding.
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