Evidence map›Paper›PMID 23135413›Full record

Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2014

Similar survival between screw cementless and cemented tibial components in young patients with osteoarthritis.

Alejandro Lizaur-Utrilla, Francisco A Miralles-Muñoz, Fernando A Lopez-Prats

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Fixation in total knee arthroplasty: are cemented implants still mandatory in younger and obese patients?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025
    Review
  7. Review
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  11. [Comparison of effectiveness of total knee arthroplasty with tantalum monoblock tibial component and cemented tibial plateau prosthesis in patients of different ages].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
    Article
  12. Article
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  15. Review
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  18. No difference between cemented and cementless total knee arthroplasty in young patients: a review of the evidence.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017
    Review
  19. Arthroplasty in young adults: options, techniques, trends, and results.Current reviews in musculoskeletal medicine · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Alejandro Lizaur-UtrillaDepartment of Orthopaedic Surgery, Hospital General Elda, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain, lizaur1@telefonica.net.
Francisco A Miralles-Muñoz
Fernando A Lopez-Prats
Hospital General de Elda · ESUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to compare the outcomes of tibial fixation with either a cemented or cementless with screw augmentation component in young patients with non-inflammatory arthritis.

methodsNinety-three patients aged 55 or younger with non-inflammatory arthritis were randomized to compare outcomes between cemented tibial fixation (48 patients) and cementless fixation with screw augmentation (45 patients). The femoral component was cementless in both groups. Post-operative evaluation was assessed by the clinical and radiological criteria of The Knee Society and WOMAC questionnaire.

resultsThe median follow-up was 6.7 (5-12) years. Significant differences were found for knee score (p = 0.02), range of motion (p = 0.04), and WOMAC score (p = 0.03). In the cemented group, there was one deep wound infection, four tibial aseptic loosening, and one polyethylene wear, all of which were revised. In the cementless group there was one tibial aseptic loosening and one polyethylene wear, both being revised. There was no difference in revision rate, and the cumulative survival at 9-year for aseptic reason was 93.7 % (95 % CI, 82-100 %) in the cementless group and 90.0 % (95 % CI, 80-100 %) in the cemented group (n.s.).

conclusionsCementless total knee arthroplasty was found to be a reliable option in younger patients with osteoarthritis. Although the revision rate and survival were similar in both groups, better clinical outcomes were obtained with cementless tibial components.

Indexed as

Bone CementsBone ScrewsAdultArthroplasty, Replacement, KneeDouble-Blind MethodEquipment Failure AnalysisFemaleFollow-Up StudiesHumansMaleMiddle AgedOsteoarthritis, KneePostoperative ComplicationsProspective StudiesProsthesis FailureReoperationBone Cements

Identifiers

PMID23135413
OpenAlexW2038453658

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.