Total knee arthroplasty revision risks depending on the bone cement used-Data from 50,545 knee replacements of the Catalan Arthroplasty Registry

dc.contributor
[Perez-Prieto D, Fontanellas-Fes A] Servei de Cirurgia Ortopèdica, Hospital del Mar, Universitat Autònoma de Barcelona, Barcelona, Spain. [Koetter K] Department of Health Economics & Outcome Research, Heraeus Medical GmbH, Wehrheim, Germany. [Martínez-Cruz O] Programa d’Analítica de Dades per a la Recerca i la Innovació en Salut (PADRIS), Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS), Departament de Salut, Generalitat de Catalunya, Barcelona, Spain
dc.contributor
Departament de Salut
dc.contributor.author
Pérez-Prieto, Daniel
dc.contributor.author
Fontanellas Fes, Albert
dc.contributor.author
Koetter, Katharina
dc.contributor.author
Martínez-Cruz, Olga
dc.contributor.author
Grup de Treball del Registre d'Artroplàsties de Catalunya (RACat)
dc.contributor.author
Fontanellas Fes, Albert
dc.date.accessioned
2025-10-27T09:41:35Z
dc.date.available
2025-10-27T09:41:35Z
dc.date.issued
2025-07-03T12:02:15Z
dc.date.issued
2025-07-03T12:02:15Z
dc.date.issued
2025-05-26
dc.identifier
Perez-Prieto D, Koetter K, Fontanellas-Fes A, Martínez-Cruz O; RACat working group. Total knee arthroplasty revision risks depending on the bone cement used-Data from 50,545 knee replacements of the Catalan Arthroplasty Registry. J Exp Orthop. 2025 May 26;12(2):e70271.
dc.identifier
2197-1153
dc.identifier
http://hdl.handle.net/11351/13345
dc.identifier
10.1002/jeo2.70271
dc.identifier
40421410
dc.identifier.uri
http://hdl.handle.net/11351/13345
dc.description.abstract
Total knee arthroplasty; Bone cement; Catalan Arthroplasty Register (RACat)
dc.description.abstract
Artroplàstia total de genoll; Ciment ossi; Cirurgia de revisió
dc.description.abstract
Artroplastia total de rodilla; Cemento óseo; Cirugía de revisión
dc.description.abstract
Clinical data on individual bone cement brands and viscosities in cemented total knee arthroplasty (TKA) is scarce. The Catalan arthroplasty registry (RACat) documents usage of cement brands including viscosities and the inclusion of antibiotics. The objective was to compare the clinical performance of the widely used bone cement brand PALACOS® to other blinded bone cement brands in TKA using data from the RACat. Patient data on 50,545 primary TKA between 2007 and 2017 in the RACat were analysed retrospectively. Implant survival of PALACOS bone cement was compared to other blinded bone cement brand groups using the all-cause revision risk as primary study endpoint. Comparing implant survival, it was found that (1) PALACOS® (with or without gentamicin) was associated with a significantly lower revision risk compared to other cement brands (with or without antibiotics) ( Type of cement brand, viscosity and the addition of antibiotics have an impact on revision risk of TKA. Medium viscosity cement with gentamicin (PALACOS MV+G), for which no clinical data were previously available, was associated with the lowest revision risk in TKA. Level III, retrospective comparative study.
dc.format
application/pdf
dc.language
eng
dc.publisher
Wiley
dc.relation
Journal of Evidence-Based Orthopaedics;12(2)
dc.relation
https://www.doi.org/10.1002/jeo2.70271
dc.rights
Attribution-NonCommercial 4.0 International
dc.rights
https://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.source
Scientia
dc.subject
Artroplàstia total de genoll
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Pròtesis
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Orthopedic Procedures::Arthroplasty::Arthroplasty, Replacement::Arthroplasty, Replacement, Knee
dc.subject
CHEMICALS AND DRUGS::Macromolecular Substances::Polymers::Plastics::Resins, Synthetic::Bone Cements
dc.subject
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications::Prosthesis Failure
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos ortopédicos::artroplastia::artroplastia de sustitución::artroplastia de sustitución de rodilla
dc.subject
COMPUESTOS QUÍMICOS Y DROGAS::sustancias macromoleculares::polímeros::plásticos::resinas sintéticas::cementos óseos
dc.subject
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias::fallo de prótesis
dc.title
Total knee arthroplasty revision risks depending on the bone cement used-Data from 50,545 knee replacements of the Catalan Arthroplasty Registry
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion


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