Cemented and cementless fixation: results and techniques.
There are multiple reports of successful cemented and cementless total knee arthroplasty in the current literature. Although technically more demanding to implant, selected cementless designs, with nearly 20 years of follow-up, demonstrate near-equal success compared with cemented implants, the gold standard. Far more important than the decision to use a cemented or cementless implant is the use of precise technique, adequate balancing of the soft tissues, and proper overall alignment. Failure to achieve these basic principles can lead to early failure in any total knee replacement system.
Silverton
Craig D
CD
Rush University, Chicago, IL, and Department of Orthopaedics, Henry Ford Hospital, Detroit, Michigan, USA.
D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001843:Bone Cements; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D013499:Surface Properties; D016896:Treatment Outcome
D001843:Bone Cements