Surface or full cementation of the tibial component in total knee arthroplasty: a matched-pair analysis of mid- to long-term results

Archives of Orthopaedic and Trauma Surgery
Ulf J SchlegelS J Breusch

Abstract

Despite the clinical success of cemented TKA, aseptic loosening of the tibial component remains a potential long-term complication. Considering the constantly growing revision burden, there is a need for clarification regarding controversial views on primary fixation techniques. In this retrospective analysis, surface (SC) or full cementation (FC) of tibial components was compared in a matched-pair and long-term setting. Matching pairs were identified in a patient series from 1989 to 1994. Hence, 25 primary TKA (SC) were compared to 42 TKA (FC). The study population included 34 patients with rheumatoid arthritis. Patients were matched in a 1:1.7 fashion according to age, gender and initial diagnosis. Outcome was assessed by multiple clinical parameters, detailed radiographic evaluation and survivorship analysis. Clinical follow-up (FU) was at 10.3 years (range 1.5-15.6) for the SC and 12 years (range 0.2-16.2) for the FC group. Survivorship at 10 years was 100 % for the surface cemented trays and 93.3 % (95 % CI 80.5-100) for the fully cemented implants considering aseptic loosening as endpoint (p = 0.3918). Improvement of the AKS Score was greater in the SC group (p = 0.044) and patients in this group were more satisfied (p = ...Continue Reading

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Citations

Oct 6, 2016·Archives of Orthopaedic and Trauma Surgery·Bilal Farouk El-ZayatBernardo Innocenti
Mar 24, 2017·Archives of Orthopaedic and Trauma Surgery·X ForuriaF Boettner
Aug 28, 2019·Acta Orthopaedica·Anders M RefsumOve Furnes
Apr 25, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshinori IshiiShin-Ichi Toyabe

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