Cementing Techniques In Knee Surgery (CeTIKS) : a UK expert consensus study
Abstract
AIMS: Aseptic loosening is the most common cause of failure following cemented total knee arthroplasty (TKA), and has been linked to poor cementation technique. We aimed to develop a consensus on the optimal technique for component cementation in TKA. METHODS: A UK-based, three-round, online modified Delphi Expert Consensus Study was completed focusing on cementation technique in TKA. Experts were identified as having a minimum of five years' consultant experience in the NHS and fulfilling any one of the following criteria: a 'high volume' knee arthroplasty practice (> 150 TKAs per annum) as identified from the National joint Registry of England, Wales, Northern Ireland and the Isle of Man; a senior author of at least five peer reviewed articles related to TKA in the previous five years; a surgeon who is named trainer for a post-certificate of comletion of training fellowship in TKA. RESULTS: In total, 81 experts (round 1) and 80 experts (round 2 and 3) completed the Delphi Study. Four domains with a total of 24 statements were identified. 100% consensus was reached within the cement preparation, pressurization, and cement curing domains. 90% consensus was reached within the cement application domain. Consensus was not reached with only one statement regarding the handling of cement during initial application to the tibial and/or femoral bone surfaces. CONCLUSION: The Cementing Techniques In Knee Surgery (CeTIKS) Delphi consensus study presents comprehensive recommendations on the optimal technique for component cementing in TKA. Expert opinion has a place in the hierarchy of evidence and, until better evidence is available these recommendations should be considered when cementing a TKA.
Citation
Hampton , M , Balachandar , V , Charalambous , C P , Sutton , P M , Walmsley , P J & CeTIKS study group 2023 , ' Cementing Techniques In Knee Surgery (CeTIKS) : a UK expert consensus study ' , Bone & Joint Open , vol. 4 , no. 9 , pp. 682-688 . https://doi.org/10.1302/2633-1462.49.BJO-2023-0032.R1
Publication
Bone & Joint Open
Status
Peer reviewed
ISSN
2633-1462Type
Journal article
Description
© 2023 Author(s) et al.Collections
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