J Knee Surg 2019; 32(07): 596-599
DOI: 10.1055/s-0039-1678687
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Cementless versus Cemented Fixation in Total Knee Arthroplasty

Paraskevi Vivian Papas
1  Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
,
Dominick Congiusta
1  Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
,
Fred D. Cushner
1  Department of Orthopedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York
› Author Affiliations
Further Information

Publication History

12 December 2018

10 January 2019

Publication Date:
01 March 2019 (eFirst)

Abstract

Despite the success of total knee arthroplasty (TKA), more than 20,000 revision TKA procedures are performed annually. In an effort to decrease failures due to loosening in the past, cementless fixation of TKA was suggested. The preliminary results of cementless fixation for TKA proved to be discouraging, with midterm results linking the use of uncemented components to early aseptic loosening. While cemented TKA has remained the gold standard fixation technique, the changing demographics of the average TKA patient have led some surgeons to revisit cementless fixation as an option.