Abstract
Fixation with cement in total knee arthroplasty (TKA) remains the gold standard. Many series in the literature show between 90 and 98% survivorship of modern cemented, condylar total knee arthroplasties at 15-plus years. While uncemented fixation has become the predominant method in contemporary total hip arthroplasty, uncemented TKA has not yet gained wide acceptance. While durable biologic fixation remains a laudable goal for TKA that aim has not yet been consistently demonstrated. It is illustrative that in reviewing the available comparable long-term studies in no case has it been shown that an uncemented total knee component has better survival than a cemented component of the same make and model.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Townley CO (1985) The anatomic total knee resurfacing arthroplasty. Clin Orthop 192:82–96
Font-Rodriguez DE, Scuderi GR, Insall JN (1997) Survivorship of cemented total knee arthroplasty. Clin Orthop 345:79–86
Vessely MB, Whaley AL, Harmsen WS, et al. (2006) Longterm survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop 452:28–34
Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS (2003) Factors aff ecting the durability of primary total knee prostheses. J Bone Joint Surg Am 85:259–265
Keller JC, Lautenschlager EP, Marshall GW Jr, Meyer PR Jr (1980) Factors aff ecting surgical alloy/bone cement interface adhesion. J Biomed Mater Res 14:639–651
Cook SD, Thomas KA, Haddad RJ Jr (1988) Histologic analysis of retrieved human porous-coated total joint components. Clin Orthop 234:90–101
Hofmann AA, Evanich JD, Ferguson RP, Camargo MP (2001) Ten-to 14-year clinical followup of the cementless Natural Knee system. Clin Orthop 388:85–94
Hofmann AA, Heithoff SM, Camargo M (2002) Cementless total knee arthroplasty in patients 50 years or younger. Clin Orthop 404:102–107
Whiteside LA, Viganò R (2007) Young and heavy patients with a cementless TKA do as well as older and lightweight patients. Clin Orthop 464:93–98
Whiteside LA (1994) Cementless total knee replacement. Nine-to 11-year results and 10-year survivorship analysis. Clin Orthop 309:185–192
Whiteside LA (2001) Long-term followup of the boneingrowth Ortholoc knee system without a metal-backed patella. Clin Orthop 388:77–84
Duffy GP, Murray BE, Trousdale RT (2007) Hybrid total knee arthroplasty analysis of component failures at an average of 15 years. J Arthroplasty 22:1112–1115
Barrack RL, Nakamura SJ, Hopkins SG, Rosenzweig S (2004) Early failure of cementless mobile-bearing total knee arthroplasty. J Arthroplasty 19(Suppl 2):101–106
Kobs JK, Lachiewicz PF (1993) Hybrid total knee arthroplasty. Two-to five-year results using the Miller-Galante prosthesis. Clin Orthop 286:78–87
Nilsson KG, Kârrholm J, Linder L (1995) Femoral component migration in total knee arthroplasty: randomized study comparing cemented and uncemented fixation of the Miller-Galante I design. J Orthop Res 13:347–356
Rorabeck CH, Bourne RB, Lewis PL, Nott L (1993) The Miller-Galante knee prosthesis for the treatment of osteoarthrosis. A comparison of the results of partial fixation with cement and fixation without any cement. J Bone Joint Surg Am 75:402–408
Rosenberg AG, Barden RM, Galante JO (1990) Cemented and ingrowth fixation of the Miller-Galante prosthesis. Clinical and roentgenographic comparison after three-to six-year follow-up studies. Clin Orthop 260:71–79
Berger RA, Lyon JH, Jacobs JJ, et al. (2001) Problems with cementless total knee arthroplasty at 11 years followup. Clin Orthop 392:196–207
Berger RA, Rosenberg AG, Barden RM, et al. (2001) Longterm followup of the Miller-Galante total knee replacement. Clin Orthop 388:58–67
Khaw FM, Kirk LM, Morris RW, Gregg PJ (2002) A randomised, controlled trial of cemented versus cementless press-fi t condylar total knee replacement. Ten-year survival analysis. J Bone Joint Surg Br 84:658–666
Beaupré LA, al-Yamani M, Huckell JR, Johnston DW (2007) Hydroxyapatite-coated tibial implants compared with cemented tibial fixation in primary total knee arthroplasty. A randomized trial of outcomes at five years. J Bone Joint Surg Am 89:2204–2211
Carlsson A, Björkman A, Besjakov J, Onsten I (2005) Cemented tibial component fixation performs better than cementless fixation: a randomized radiostereometric study comparing porous-coated, hydroxyapatite-coated and cemented tibial components over 5 years. Acta Orthop 76:362–369
Gioe TJ, Novak C, Sinner P, et al. (2007) Knee arthroplasty in the young patient: survival in a community registry. Clin Orthop 464:83–87
Duffy GP, Berry DJ, Rand JA (1998) Cement versus cementless fixation in total knee arthroplasty. Clin Orthop 356:66–72
Parker DA, Rorabeck CH, Bourne RB (2001) Long-term follow-up of cementless versus hybrid fixation for total knee arthroplasty. Clin Orthop 388:68–76
Bobyn JD, Poggie RA, Krygier JJ, et al. (2004) Clinical validation of a structural porous tantalum biomaterial for adult reconstruction. J Bone Joint Surg Am 86(Suppl 2):123–129
Rights and permissions
Copyright information
© 2012 Springer-Verlag France, Paris
About this chapter
Cite this chapter
Jackson, J.D., Pagnano, M.W. (2012). Cement fixation for total knee arthroplasty. In: The Knee Joint. Springer, Paris. https://doi.org/10.1007/978-2-287-99353-4_70
Download citation
DOI: https://doi.org/10.1007/978-2-287-99353-4_70
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-99352-7
Online ISBN: 978-2-287-99353-4
eBook Packages: MedicineMedicine (R0)