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Uncemented or cemented femoral components work equally well in total knee arthroplasty

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  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To study the pattern of migration and clinical results up to 10 years of uncemented versus cemented fixation of the femoral component in total knee arthroplasty.

Methods

Randomized controlled trial was conducted of 41 patients (23 women, 18 men) under the age of 60 years using radiostereometric analysis.

Results

About two-thirds of the cemented implants and half of the uncemented implants stabilized between 2 and 10 years, while the remainder displayed a small annual increase of maximum total point motion of 0.09–0.10 mm/year. At 10 years there were no statistically significant differences in migration or clinical results between the groups.

Conclusion

Uncemented fixation with titanium fiber mesh coating of the femoral component in total knee arthroplasty works equally as well as cemented fixation up to 10 years. An annual migration of 0.1 mm seems compatible with excellent long-term performance.

Level of evidence

I.

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Funding

This study was supported by institutional grants from Zimmer and Umeå University, Umeå, Sweden.

Author information

Authors and Affiliations

  1. Department of Orthopaedics, Falu General Hospital, Falun, Sweden

    Anders Henricson

  2. Department of Surgical and Perioperative Sciences, Orthopaedics, Umeå University, Umeå, Sweden

    Radek Wojtowicz, Kjell G. Nilsson & Sead Crnalic

Authors
  1. Anders Henricson
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  2. Radek Wojtowicz
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  3. Kjell G. Nilsson
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  4. Sead Crnalic
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Contributions

AH performed the surgery and the follow-ups, analyzed the data, and wrote and edited the manuscript. RW analyzed the data and wrote and edited the manuscript. SC analyzed the data and edited the manuscript. KGN initiated the study, analyzed data, and also wrote and edited the manuscript.

Corresponding author

Correspondence to Anders Henricson.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Ethics Committee of Umeå University (Um dns 03-004)

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Henricson, A., Wojtowicz, R., Nilsson, K.G. et al. Uncemented or cemented femoral components work equally well in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 27, 1251–1258 (2019). https://doi.org/10.1007/s00167-018-5227-5

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  • DOI: https://doi.org/10.1007/s00167-018-5227-5

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