Introduction: Cementless fixation plays an increasing role in total knee arthroplasty (TKA). The objective of this review article is to analyze functional outcomes and survivorship of cementless TKA.
Materials And Methods: A comprehensive literature search for studies reviewing the outcome and survivorship of cementless TKA was conducted. This search was based on the PRISMA 2020 guidelines using PubMed, Medline, and Embase. The included studies were screened by two independent observers.
Results: From 2010 to 2022, fifteen studies were included. Eleven studies compared cementless and cemented TKA. Four studies only covered cementless implants. Survivorship and functional outcomes of cementless TKA are at least comparable to those of cemented implants.
Conclusion: With improvement in manufacturing, and surgical tools for more precise delivery, such as robotic assisted TKA and 3D-printed implants, one can expect increase in usage of cementless TKA, due to a more biological fixation, better survivorship, and outcomes.
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Cementless fixation in total knee arthroplasty: current evidence and future perspective.
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December 2024
Faculty of Medicine, Johannes Kepler University Linz, Altenberger Strasse 69, 4040, Linz, Austria.
Introduction: Cementless fixation plays an increasing role in total knee arthroplasty (TKA). The objective of this review article is to analyze functional outcomes and survivorship of cementless TKA.
Materials And Methods: A comprehensive literature search for studies reviewing the outcome and survivorship of cementless TKA was conducted.
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Henry Community Health, 2200 Forest Ridge Parkway, New Castle, IN47362, USA.
Background: Indications for primary total knee arthroplasty (TKA) have become more inclusive of morbidly obese patients, however, higher rates of complications and lower implant survival have also been reported in this population. The purpose of this study was to investigate the mid-term survival, clinical, and radiographic outcomes of a cementless trabecular metal monoblock tibial component in severely obese patients.
Methods: This was a retrospective study of class II and III obese (BMI > 35) patients who received a cementless primary TKA.
Comparison of postoperative blood loss in cementless and cemented total knee arthroplasty: a systematic review.
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Joint Replacement Center, Eunpyeong St. Mary's Hospital, Seoul, 03312, Republic of Korea.
Introduction: With the advancement of porous surface processing technology, cementless total knee arthroplasty (TKA) has once again garnered attention. Cementless TKA lacks cement sealing, raising concerns regarding potential blood loss. Recently, patient blood management (PBM) protocols have been introduced to mitigate postoperative blood loss and transfusions.
View Article and Find Full Text PDFCentral Bone Mineral Density Is Not a Useful Tool to Predict Bone Strength of the Distal Femur for Cementless Total Knee Arthroplasty.
Clin Orthop Surg
December 2024
Department of Orthopaedic Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Article Synopsis
- Increasing use of cementless total knee arthroplasty (TKA) highlights the need for reliable assessment of bone quality, but the effectiveness of central bone mineral density (BMD) in predicting knee strength is questionable.
- A study involving 191 knees showed a weak correlation between central BMD and actual bone strength at the knee, particularly poor in patients with osteoporosis.
- Findings suggest central BMD measurements are not effective for assessing knee bone strength for cementless TKA, indicating a need for better methods to evaluate bone quality.
Inferior short-term survivorship and patient outcomes for cementless compared to hybrid fixation with a cemented femoral implant in a novel blade-anchored medial unicompartmental knee arthroplasty design: An analysis of 132 cases.
Knee
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Hospital for Special Surgery, Department of Computer Assisted Surgery and Sports Medicine, 535 East 70th Street, New York, NY 10021, United States.
Purpose: For younger, more active patients, a cementless unicompartmental knee arthroplasty (UKA) might be more advantageous than cemented fixation. Therefore, this study aimed to compare implant survivorship and patient-reported outcome measures (PROMs) between cementless and hybrid fixation (cemented femur and cementless tibial fixation) in a novel tibial blade-anchored, medial UKA design.
Methods: Two surgeon's registries were reviewed for patients who underwent primary cementless or hybrid medial UKA for medial osteoarthritis between 2019 and 2022.
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