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J Knee Surg 2020; 33(09): 848-855
DOI: 10.1055/s-0040-1708880
Special Focus Section

Cementless Fixation for Total Knee Arthroplasty in Various Patient Populations: A Literature Review

Hytham S. Salem
1   Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York
,
John M. Tarazi
1   Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York
,
Joseph O. Ehiorobo
1   Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York
,
Kevin B. Marchand
2   Department of Orthopedic Surgery, Northwell Hospital Lenox Hill, New York, New York
,
Kevin K. Mathew
2   Department of Orthopedic Surgery, Northwell Hospital Lenox Hill, New York, New York
,
Nipun Sodhi
3   Department of Orthopaedic surgery, Long Island Jewish Medical Center, New Hyde Park, New York
,
Michael A. Mont
2   Department of Orthopedic Surgery, Northwell Hospital Lenox Hill, New York, New York
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Abstract

The number of total knee arthroplasties (TKAs) performed in the United States has increased considerably in recent years, with a major contribution from younger patients. Maximizing survivorship of these implants has always been a point of emphasis. Early TKA designs with cementless fixation were associated with high rates of complications and implant failures. However, recent advances in cementless designs have shown excellent results. The decision to use cemented or cementless fixation for patients undergoing TKA is typically based on the surgeon's experience and preference. However, several patient characteristics must also be taken into account. The purpose of this review was to describe the clinical outcomes of studies in which a cementless TKA system was utilized for patients who (1) were less than 60 years of age, (2) were greater than 75 years of age, (3) were obese, (4) had rheumatoid arthritis, and (5) had osteonecrosis of the knee. Based on the studies included in this review, it appears that cementless fixation is a viable option for patients who have all of the above demographics.

Keywords

TKA - cementless - outcomes


Publication History

Received: 14 December 2019

Accepted: 07 February 2020

Article published online:
07 April 2020

© 2020. Thieme. All rights reserved.

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