ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Good long-term results following cementless TKA with a titanium plasma coating.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Correlation of revision rate of unicompartmental knee arthroplasty with total knee arthroplasty: a meta-analysis of clinical studies and worldwide arthroplasty registers.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Patella is rarely resurfaced during primary total knee arthroplasty in clinical trials conducted in Greece: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Uncemented or cemented femoral components work equally well in total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Trial
- Cementless fixation in total knee arthroplasty: current evidence and future perspective.Archives of orthopaedic and trauma surgery · 2024Review
- No component loosening of a cementless deep dish rotating platform knee at a 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Restricted kinematic alignment leads to uncompromised osseointegration of cementless total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Targeting repeatability of a less obtrusive surgical navigation procedure for total shoulder arthroplasty.International journal of computer assisted radiology and surgery · 2022Article
- Arthrofibrosis after total knee arthroplasty: patients with keloids at risk.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Robotic Total Knee Arthroplasty vs Conventional Total Knee Arthroplasty: A Nationwide Database Study.Arthroplasty today · 2020Article
- Patellofemoral design enhancements reduce long-term complications of postero-stabilized total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
- Midterm Results of Cementless Total Knee Arthroplasty: A Retrospective Case Series.The open orthopaedics journal · 2018Article
- 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 · 2017Review
- Small Improvements in Postoperative Outcome with Gap Balancing Technique Compared with Measured Resection in Total Knee Arthroplasty.The open orthopaedics journal · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhile cemented total knee arthroplasty (TKA) is currently the gold standard for primary osteoarthritis, cementless component fixation has achieved increasingly comparable outcomes due to improvements in both implant designs and surgical technique. Long-term outcomes and survivorship with the TC-Plus cementless, titanium plasma-coated TKA system without patella resurfacing were evaluated.
methodsA homogenous population of 171 consecutive patients who received 206 primary TC-Plus TKAs without patella resurfacing over a 19-year period was retrospectively reviewed. Knee Society Clinical Rating System (KSCRS) scores were obtained, and radiographic evaluation was performed after a mean follow-up of 13.2 ± 8.4 years. Survivorship analysis was made with endpoints revision for any reason and aseptic loss of biological fixation.
resultsOne hundred and thirty-six TKAs implanted in 113 patients were available for analysis. Mean KSCRS clinical and functional scores improved significantly versus preoperative values. No radiological loss of biological fixation of femoral and tibial components was observed. Survival with aseptic revision of any component as the endpoint was 95.7 % (95 % confidence interval (CI) 91.7-97.9 %) and 93.6 % (95 % CI 87.8-96.6 %) at 10 and 15 years, respectively.
conclusionTitanium plasma-coated cementless TKA without patella resurfacing showed excellent long-term results, with high 10- and 15-year component survival rates. The clinical and radiological results were comparable to those of other cementless TKAs, providing further evidence for the non-cemented resurfacing of the osteoarthritic knee. LEVEL OF EVIDENCE: IV.
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Registered trials
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