Cementless fixation in total knee arthroplasty: down the boulevard of broken dreams - affirms. Review uri icon

Overview

abstract

  • There has been a recent increase in interest for non-cemented fixation in total knee arthroplasty (TKA), however the superiority of cement fixation is an ongoing debate. Whereas the results based on Level III and IV evidence show similar survivorship rates between the two types of fixation, Level I and II evidence strongly support cemented fixation. United Kingdom, Australia, Sweden, and New Zealand registry data show lower failure rates and greater usage of cemented than non-cemented fixation. Case series studies have also indicated greater functional outcomes and lower revision rates among cemented TKAs. Non-cemented fixation involves more patellofemoral complications, including increased susceptibility to wear due to a thinner polyethylene bearing on the cementless metal-backed component. The combination of results from registry data, prospective randomised studies, and meta-analyses support the current superiority of cemented fixation in TKAs.

publication date

  • November 1, 2012

Research

keywords

  • Arthroplasty, Replacement, Knee
  • Bone Cements
  • Knee Prosthesis

Identity

Scopus Document Identifier

  • 84870181266

Digital Object Identifier (DOI)

  • 10.1302/0301-620X.94B11.30826

PubMed ID

  • 23118389

Additional Document Info

volume

  • 94

issue

  • 11 Suppl A