Persistent Pain due to Cement Protrusion After Total Knee Arthroplasty: A Report of Three Cases

被引：0
作者：
Alamiri, Nawaf [1 ]
Lorange, Justin-Pierre [2 ]
Dimentberg, Ron [1 ,3 ]
机构：
[1] McGill Univ, Dept Surg, Div Orthopaed, Montreal, PQ, Canada
[2] Univ Montreal, Dept Surg, Div Orthopaed Surg, 5400 Boul Gouin O, Montreal, PQ H4J 1C5, Canada
[3] St Marys Hosp, Dept Orthopaed Surg, Montreal, PQ, Canada
来源：
ARTHROPLASTY TODAY | 2024年 / 26卷
关键词：
Total knee arthroplasty; Chronic pain; Cement protrusion; Arthroscopic cement excision; RETAINED CEMENT; ARTHROSCOPY; IMPINGEMENT; EXTRUSION;
D O I：
10.1016/j.artd.2024.101334
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Chronic lateral knee pain after uneventful total knee arthroplasty can be challenging to manage. We present 3 cases where the pain transiently resolved with injections of local anesthetic. Diagnostic arthroscopy revealed cement protrusion at the lateral femoral bone-prosthesis interface. Passive full knee extension during the curing phase is routine to ensure cement pressurization and optimal bonding. This may enable cement extrusion at the lateral femoral interface and result in persistent pain. Therefore, prevention measures should include thorough visualization of the implant after cementing. Arthroscopic cement excision en bloc is a minimally invasive procedure to treat these patients. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/ 4.0/).
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