Osteolysis associated with cemented total knee arthroplasty. A case report.
Osteolysis induced by particulate debris occurs within 5 years after cementless total knee arthroplasty, but has not been reported to be a problem after cemented total knee arthroplasty. It has been suggested that the bone-cement interface may form a barrier to polyethylene-debris migration, thereby limiting bone loss. The authors have observed osteolysis in a 75-year-old woman 9 years after cemented total knee arthroplasty. An osteolytic area appeared to return to an area of normal bone architecture 3 years after the removal of synovium and particulate debris without implant revision.
Ries
M D
MD
Mary Imogene Bassett Hospital, Cooperstown, New York 13326.
Guiney
W
W
Lynch
F
F
D000368:Aged; D002484:Cementation / Q000009:adverse effects*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D010014:Osteolysis / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging