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International Orthopaedics
Published in: International Orthopaedics 2/2014

01-02-2014 | Original Paper

Cementless and cemented total knee arthroplasty in patients younger than fifty five years. Which is better?

Authors: Young-Hoo Kim, Jang-Won Park, Hyung-Mook Lim, Eun-Soo Park

Published in: International Orthopaedics | Issue 2/2014

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Abstract

Purpose

The purpose of this prospective, randomised study was to evaluate long-term clinical results, radiographic findings, complications and revision and survivorship rates in patients <55 years at a minimum of 16 years after undergoing bilateral, sequential, simultaneous, cemented and cementless total knee arthroplasties (TKAs) in the same patients.

Methods

Bilateral, sequential, simultaneous TKAs were performed in 80 patients (160 knees). There were 63 women and 17 men with a mean age of 54.3 years (range 49–55), who received a cementless prosthesis in one knee and a cemented prosthesis in the other. The mean follow-up was 16.6 years (range 16–17).

Results

At final review, the mean Knee Society (KS) knee scores (95.8 versus 96.9), Western Ontario and McMaster Universities (WOMAC) osteoarthritis (OA) index (25.4 versus 25.9), range of motion (ROM) (125°versus 128°), patient satisfaction (8.1 versus 8.3) and radiological results were similar in both groups. Femoral component survival rate was 100 % in both groups at 17 years; at 17 years, the cemented tibial component survival rate was 100 % and the cementless tibial component 98.7 %. No osteolysis was identified in either group.

Conclusion

Long-term results of both cementless and cemented TKAs were encouraging in patients with OA who were <55 years. However, we found no evidence to prove the superiority of cementless over cemented TKAs.
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Metadata
Title
Cementless and cemented total knee arthroplasty in patients younger than fifty five years. Which is better?
Authors
Young-Hoo Kim
Jang-Won Park
Hyung-Mook Lim
Eun-Soo Park
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 2/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2243-4

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