medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2019, Number 4

<< Back Next >>

Ortho-tips 2019; 15 (4)

Total noncemented knee arthroplasty

Garín ZDE, Hernández MJI, Penagos PJA

Language: Spanish
References: 15
Page: 231-238
PDF size: 138.33 Kb.


ABSTRACT

Interest for uncemented total knee arthroplasty (TKA) has greatly increased in recent years. As the number of younger and more active patients treated with TKA continues to increase, consideration of better fixation as a means of improving implant longevity is required. This technique, less used than cemented knee replacement in the last decades, sees a revival thanks an advance in prosthetic design, instrumentation and operative technique. The related literature in some cases shows conflicting data on survival and on the revision’s rate, but in most cases a success rate comparable to cemented TKA is reported. Noncemented components offer the potential advantage of a biologic interface between the bone and implants, which could demonstrate the greatest advantage in long-term durable fixation in the follow-up of young patients undergoing arthroplasty. The optimal fixation in TKA is a subject of debate with the majority of surgeons favouring cemented fixation. Although longterm, high-quality studies are still needed, material advances in biologic fixation surfaces, such as trabecular metal and hydroxyapatite, may offer promising results for young and active patients undergoing total knee arthroplasty when compared with traditional cemented options. We undertook a review of the literature examining advances of cementless TKA and the reported result.


REFERENCES

  1. Aprato A, Risitano S, Sabatini L, Giachino M, Agati G, Massè A. Cementless total knee arthroplasty. Ann Transl Med. 2016; 4 (7): 129.

  2. Behery OA, Kearns SM, Rabinowitz JM, Levine BR. Cementless vs cemented tibial fixation in primary total knee arthroplasty. J Arthroplasty 2017; 32 (5): 1510-1515.

  3. Chen C, Li R. Cementless versus cemented total knee arthroplasty in young patients: a meta-analysis of randomized controlled trials. J Orthop Surg Res 2019; 14 (1): 262.

  4. Fernández-Cuadrod ME. Análisis de la calidad de vida en pacientes con prótesis total de rodilla (Postgrado). Universidad de Salamanca (España); 2013. Disponible en: https://gredos.usal.es/handle/10366/124148.

  5. Dalury DF. Cementless total knee arthroplasty. Bone Joint J. 2016; 98-B: 867-873.

  6. Fricka KB, Sritulanondha S, McAsey CJ. To cement or not? two-year results of a prospective, randomized study comparing cemented vs cementless total knee arthroplasty (TKA). J Arthroplasty. 2015; 30 (9 Suppl): 55-58.

  7. Papas PV, Congiusta D, Cushner FD. Cementless versus cemented fixation in total knee arthroplasty. J Knee Surg. 2019; 32 (7): 596-599.

  8. Ponziani L, Di Caprio F, Meringolo R. Cementless knee arthroplasty. Acta Biomed. 2017; 88 (4 Suppl): 11-18.

  9. Harwin SF, Levin JM, Khlopas A, Ramkumar PN, Piuzzi NS, Roche M, et al. Cementless posteriorly stabilized total knee arthroplasty: seven-year minimum follow-up report. J Arthroplasty. 2018; 33 (5): 1399-1403.

  10. Miller AJ, Stimac JD, Smith LS, Feher AW, Yakkanti MR, Malkani AL. Results of cemented vs cementless primary total knee arthroplasty using the same implant design. J Arthroplasty. 2018; 33 (4): 1089-1093.

  11. Lawrie CM, Schwabe M, Pierce A, Nunley RM, Barrack RL. The Cost of implanting a cemented versus cementless total knee arthroplasty. Bone Joint J. 2019; 101-B (7 Supple C): 61-63.

  12. Nam D, Lawrie CM, Salih R, Nahhas CR, Barrack RL, Nunley RM. Cemented versus cementless total knee arthroplasty of the same modern design. J Bone Joint Surg Am. 2019; 101 (13): 1185-1192.

  13. Prudhon JL, Verdier R. Cemented or cementless total knee arthroplasty? Comparative results of 200 cases at a minimum follow-up of 11 years. Sicot J 2017; 3: 70.

  14. Karachalios T, Antoniou I. Long term outcome of total knee arthroplasty. The effect of implant fixation (Cementless). En: Karachalios T (eds). Total knee arthroplasty. Springer, London; Imprint Springer, 2015. p. 155-162.

  15. Newman JM, Sodhi N, Khlopas A, Sultan AA, Chughtai M, Abraham R, et al. Cementless total knee arthroplasty: a comprehensive review of the literature. Orthopedics. 2018; 41 (5): 263-273.




2020     |     www.medigraphic.com