How to Prevent Aseptic Loosening in Cementless Arthroplasty: A Review

Applied Sciences

Catalin Popa¹  Alexandru Mester²  Ondine Lucaciu²  Daniel Oltean-Dan³  Dan Cosma³  Dragos Apostu³  Horea Benea³  Doina Piciu⁴ 

[1] Department of Materials Science and Engineering, Technical University of Cluj-Napoca, 400641 Cluj-Napoca, Romania;Department of Oral Rehabilitation, University of Medicine and Pharmacy Cluj-Napoca, 400012 Cluj-Napoca, Romania;Department of Orthopaedics and Traumatology, University of Medicine and Pharmacy Cluj-Napoca, 400012 Cluj-Napoca, Romania;Nuclear Medicine Department, University of Medicine and Pharmacy Cluj-Napoca, 400012 Cluj-Napoca, Romania;

关键词: aseptic loosening;    total hip arthroplasty;    total hip replacement;    osseointegration;   

DOI  :  10.3390/app12031571

来源: DOAJ

【 摘 要 】

Aseptic loosening is the main late postoperative complication of cementless total hip arthroplasties (THAs), leading to pain and functional impairment. This article aims to update the orthopedic surgeon on the various methods by which the aseptic loosening rate can be reduced. We performed a systematic review by searching the PubMed database for hip aseptic loosening. We included meta-analysis, randomized controlled trials, reviews, and systematic reviews in the last 10 years, which provided information on techniques that can prevent aseptic loosening in total hip arthroplasty. From a total of 3205 articles identified, 69 articles (2%) met the inclusion criteria, leading to a total of 36 recommendations. A lot of research has been conducted in terms of septic loosening in the last decade. Currently, we have various techniques by which we can reduce the rate of aseptic loosening. Nevertheless, further randomized clinical trials are needed to expand the recommendations for aseptic loosening prevention.

【 授权许可】

Unknown