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dc.contributor.authorRefsum, Anders Myhre
dc.contributor.authorNguyen, Uy Viet
dc.contributor.authorGjertsen, Jan Erik
dc.contributor.authorEspehaug, Birgitte
dc.contributor.authorFenstad, Anne Marie
dc.contributor.authorLein, Regina Küfner
dc.contributor.authorEllison, Peter
dc.contributor.authorHøl, Paul Johan
dc.contributor.authorFurnes, Ove
dc.identifier.citationRefsum, A. M., Nguyen, U. V., Gjertsen, J.-E., Espehaug, B., Fenstad, A. M., Lein, R. K., . . . Furnes, O. (2019). Cementing technique for primary knee arthroplasty: a scoping review. Acta Orthopaedica, 90(6), 582-589.nb_NO
dc.description.abstractBackground 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.nb_NO
dc.publisherTaylor & Francisnb_NO
dc.rightsNavngivelse 4.0 Internasjonal*
dc.titleCementing technique for primary knee arthroplasty: a scoping reviewnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.rights.holder© 2019 The Author(s).nb_NO
dc.subject.nsiVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784nb_NO
dc.source.journalActa Orthopaedicanb_NO
cristin.unitnameSenter for kunnskapsbasert praksis

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal