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Optimal Implant Fixation in Knee Arthroplasty: Cemented Versus Cementless Knee Arthroplasty

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Basics in Primary Knee Arthroplasty

Abstract

The long-term functional outcome of knee arthroplasty depends on optimal and durable fixation of implants to the bone. Cement fixation has been used extensively for total knee arthroplasty (TKA) and unicondylar knee arthroplasty (UKA). It is still the most widely used form of fixation. Cement fixation provides excellent primary stability for decades; however, it carries the risk of failure at the bone cement interface in time. The success of cementless designs in the hip have led to cementless implants in TKA. However, the results have been mixed, with worse outcomes in earlier designs. Newer generation of cementless TKA with improved surface coatings and better designs showed promising short-term results; however, long-term durability of these implants has not been published. This chapter reviews the current knowledge and future trends on fixation methods in knee arthroplasty.

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  1. Cankaya Orthopedics, Ankara, Turkey

    Reha N. Tandogan, Senol Bekmez & Metin Polat

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  1. Reha N. Tandogan
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  1. Department of Orthopaedics and Traumatology, Centre of Joint Replacement West Brandenburg University of Brandenburg Theodor Fontane, Brandenburg an der Havel, Germany

    Roland Becker

  2. Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland

    Michael T. Hirschmann

  3. CortoClinics, Roosteren, The Netherlands

    Nanne P. Kort

39.1 Electronic Supplementary Materials

Cementing technique in TKA (MP4 238751 kb)

Cementing technique of unicondylar arthroplasty (MP4 161137 kb)

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Tandogan, R.N., Bekmez, S., Polat, M. (2022). Optimal Implant Fixation in Knee Arthroplasty: Cemented Versus Cementless Knee Arthroplasty. In: Becker, R., Hirschmann, M.T., Kort, N.P. (eds) Basics in Primary Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-58178-7_39

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