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J Knee Surg 2014; 27(03): 193-198
DOI: 10.1055/s-0034-1374811
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cementless Total Knee Arthroplasty: A Review

Jeffrey J. Cherian
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Samik Banerjee
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Bhaveen H. Kapadia
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Julio J. Jauregui
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
,
Steven F. Harwin
2   Department of Orthopaedic Surgery, Beth Israel Medical Center, New York, New York
,
Michael A. Mont
1   Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland
› Author Affiliations
Further Information

Publication History

19 February 2014

16 March 2014

Publication Date:
24 April 2014 (online)

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Abstract

There is ongoing debate over the use of cementless fixation in total knee arthroplasty (TKA). Previous generation prostheses resulted in less than optimal outcomes which was somewhat attributed to design issues. As the demand for TKA is continuously increasing and the current U.S. age population is getting younger, cemented fixation may not provide adequate long-term outcomes due to failure of fixation. Thus, there has been a reemergence of the development and use of cementless TKA. Recent short-term trials have demonstrated that modern cementless TKA has comparable survivorship and functional outcomes as cemented prostheses. However, more prospective, randomized trials are needed to clearly delineate any differences between these two fixation options.

Keywords

cementless total knee - noncemented - total knee arthroplasty - implant
 

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