Total knee arthroplasty using cementless keels and cemented tibial trays: 10-year results

International Orthopaedics
Frank R KolisekSlif D Ulrich

Abstract

The problem of early mechanical stability of cemented and cementless keels of the tibial component in total knee arthroplasty (TKA) is controversial. The purpose of this study was to assess clinical and radiographic outcomes of a cohort of 51 TKAs using a cemented platform with cementless keel fixation. At a mean follow-up of 10.4 years (range, 7 to 14 years), the mean Knee Society Score (KSS) was 93 points (range, 59 to 100 points), and the mean functional score was 73 points (range, 0 to 100 points). Only one patient demonstrated progressive tibial radiolucencies at 13.1 years follow-up, which resolved with a revision with an exchange of components. The results of this study suggest that a proximally cemented tibial tray with a press-fit keel TKA provides excellent mean 10-year outcomes.

References

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Citations

Aug 16, 2008·International Orthopaedics·Tuuli SaariBo Nivbrant
Mar 3, 2011·International Orthopaedics·Frédéric BorrioneGilles Gagna
Feb 6, 2013·Orthopedics·Olimpio GalassoRolf K Miehlke
Jul 5, 2013·Orthopedics·J Wesley MeskoJianhua Shen
Mar 28, 2013·Indian Journal of Orthopaedics·Peter HelwigOliver Hauschild
Oct 12, 2014·International Orthopaedics·Ji Hyun AhnSung Hyun Lee
Sep 24, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kevin StaatsReinhard Windhager
Apr 25, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoshinori IshiiShin-Ichi Toyabe

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