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Weekly News, Analysis, and Commentary

Large Joints Features & News

Gehrke, Cameron Debate Use of Cement in Small Canals

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

When it comes to small canals, with cemented stems you get better outcome and survival, fewer dislocations, fewer periprosthetic fractures, and fewer revisions!” argues Thorsten Gehrke. Hugh Cameron says, “Small stems are short and lucency will develop. And with cement in small canals you are reaming heavily and most of the cancellous bone is removed, thus the bone-cement interlock is poor.”

Lachiewicz, Jacobs Debate CCK in Intraoperative MCL Injury

Image created by RRY Publications, LLC
Image created by RRY Publications, LLC

“There is a great track record on constraint for intraoperative MCL injury. The bonuses: no need for sutures or staples, no need for a hinged knee brace, full weight bearing, early ROM, and excellent long term survival!” argues Paul Lachiewicz. But Josh Jacobs counters, “CCKs in primary TKR are not very conservative…you’re resecting a lot of bone. And there are issues of wear and ease of removal.”

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