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  • Cementless Knee Replacement Surgery – A Safer And Reliable Alternative

    Cementless Knee Replacement Surgery – A Safer And Reliable Alternative

    Knee replacement surgeries have been in execution since decades, and have also proven to be successful. However, these were all total knee replacements with the entire knee being removed and replaced with metallic or plastic prostheses. Slowly and gradually, there were advancements made in the field, which led to partial knee replacement surgeries, wherein only the compartment that was damaged within the knee bone was removed and replaced. Next in line came the invasive surgery wherein the least possible incision was made within the knee to avoid excess blood flow and damage to the surrounding ligaments and cartilages.

    Among all these innovations and improvisations, one very successful and safe innovation has been the cementless knee replacement surgery. Generally, in the traditional type of surgery, the damaged bone is removed and the prosthesis is placed in the space, wherein it is attached to the leg with the help of cement that is let to dry and make the attachment firm. But, this latest cementless procedure involves no usage of cement between the bone and prosthesis. Instead, the natural bone is allowed to grow until it holds the prosthesis in place on its own.

    Now, you may say that a cemented procedure is more durable than a cementless one, while a cementless procedure may be risky. But, in fact, it is the other way round! Using cement may keep the prosthesis firmly in place, but it comes with its own risks.

    • It is possible that tiny granules of the cement may enter the bloodstream and cause obstruction of blood flow to essential organs.
    • The cement is hardened with the release of heat, which may, in the long run, affect the raw bony surface, which may cause necrosis of the same.
    • There is a rare but possible chance of the cement loosening with wear and tear of the bones, which may require a revision knee replacement surgery.

    On the other hand, the cementless surgery involves a different execution. The artificial implant used in cementless surgeries is porous and hydroxyapetite-coated, which makes the metallic surface stimulate the new bone formation. Moreover, the porous nature makes the new bone grow into the implant surface and incorporate the metallic implant with the bone. This kind of surgery brings better results as compared to the traditional cemented procedure.

    • The cementless procedures results in better biological fit of the implant.
    • The cementless procedure has no granules to enter into the bloodstream, and no implant loosening possibility; thus making it safe and more stable too.
    • The cementless procedure has a shorter surgical time as it doesn’t require any kind of element (like the cement) to dry.

    Thus, while the cementless procedure may sound risky, it is actually a safer surgical option when long term results are thought about. No doubt, a cementless procedure may require much more care in the initial stages, until the bone has completely grown and is strong, but the life of the knee after that will be one that you may not have to worry about ever! However, it depends upon your condition to decide upon whether a cementless option is right for you. Thus, you need to take advice from a professional to make a decision. One place you can go to for this is Maitri Hospital, where you can get advice from our expert orthopaedic surgeon in Kota, along with the best services of a total knee replacement surgery. And this is not all! Here, you can get all kinds of orthopaedic treatments related to knee and hip replacements, crushed injury repairs, club foot surgeries, bone grafting, tendon lengthening, and major amputation.

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