title: Cementless fixation in total knee arthroplasty: down the boulevard of broken dreams - affirms.
abstract: There has been a recent increase in interest   for non-cemented fixation in total knee arthroplasty (TKA), however   the superiority of cement fixation is an ongoing debate.  Whereas the results based on Level III and IV evidence show similar   survivorship rates between the two types of fixation, Level I and   II evidence strongly support cemented fixation. United Kingdom,   Australia, Sweden, and New Zealand registry data show lower failure   rates and greater usage of cemented than non-cemented fixation.   Case series studies have also indicated greater functional outcomes   and lower revision rates among cemented TKAs. Non-cemented fixation   involves more patellofemoral complications, including increased   susceptibility to wear due to a thinner polyethylene bearing on   the cementless metal-backed component. The combination of results   from registry data, prospective randomised studies, and meta-analyses   support the current superiority of cemented fixation in TKAs.
authors.affiliation: Weill Medical College of Cornell University, 1300 York Avenue, New York, New York 10065, USA.
authors.forename: C S
authors.initials: CS
authors.lastname: Ranawat
authors.forename: M
authors.initials: M
authors.lastname: Meftah
authors.forename: E N
authors.initials: EN
authors.lastname: Windsor
authors.forename: A S
authors.initials: AS
authors.lastname: Ranawat
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation* / Q000379:methods; D001843:Bone Cements; D006801:Humans; D007720:Knee Prosthesis; D017063:Outcome Assessment, Health Care; D011475:Prosthesis Failure / Q000209:etiology; D011788:Quality of Life; D020127:Recovery of Function; D012042:Registries; D012086:Reoperation
chemical_list: D001843:Bone Cements