Comparison of cemented and uncemented fixation in total knee arthroplasty. Article Review uri icon

Overview

MeSH

  • Humans
  • Treatment Outcome

MeSH Major

  • Arthroplasty, Replacement, Knee
  • Bone Cements
  • Cementation
  • Joint Instability
  • Knee Prosthesis

abstract

  • As a result of reading this article, physicians should be able to :1. Understand the rationale behind using uncemented fixation in total knee arthroplasty.2.Discuss the current literature comparing cemented and uncemented total knee arthroplasty3. Describe the value of radiostereographic analysis in assessing implant stability.4. Appreciate the limitations in the available literature advocating 1 mode of fixation in total knee arthroplasty. Total knee arthroplasty performed worldwide uses either cemented, cementless, or hybrid (cementless femur with a cemented tibia) fixation of the components. No recent literature review concerning the outcomes of cemented vs noncemented components has been performed. Noncemented components offer the potential advantage of a biologic interface between the bone and implants, which could demonstrate the greatest advantage in long-term durable fixation in the follow-up of young patients undergoing arthroplasty. Several advances have been made in the backing of the tibial components that have not been available long enough to yield long-term comparative follow-up studies. Short-term radiostereographic analysis studies have yielded differing results. Although long-term, high-quality studies are still needed, material advances in biologic fixation surfaces, such as trabecular metal and hydroxyapatite, may offer promising results for young and active patients undergoing total knee arthroplasty when compared with traditional cemented options. Copyright 2013, SLACK Incorporated.

publication date

  • May 2013

has subject area

  • Arthroplasty, Replacement, Knee
  • Bone Cements
  • Cementation
  • Humans
  • Joint Instability
  • Knee Prosthesis
  • Treatment Outcome

Research

keywords

  • Comparative Study
  • Journal Article
  • Review

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.3928/01477447-20130426-10

PubMed ID

  • 23672897

Additional Document Info

start page

  • 380

end page

  • 387

volume

  • 36

number

  • 5