SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
Cementless unicompartmental knee replacement achieves better ten-year clinical outcomes than cemented: a systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis 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.
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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
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Impact of age on unicompartmental knee arthroplasty outcomes: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Demographics and outcomes of unicondylar knee arthroplasty in Türkiye: a nationwide retrospective database study of eight thousand, five hundred and ninety cases.International orthopaedics · 2026Article
- Associations between hospital characteristics, volume, and reasons for revision: a cohort study of 48,029 unicompartmental knee arthroplasties with 3,397 revisions from the Dutch Arthroplasty Register.Acta orthopaedica · 2026Article
- Long-term outcomes of a 3D printed cementless fixed bearing unicompartmental knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Long-term clinical outcomes and retrieval analysis of a cementless total knee replacement in a dog.Veterinary surgery : VS · 2025Article
- Cementless unicompartmental knee arthroplasty is safe and effective at a minimum follow-up of 4.2 years: A systematic review.Journal of experimental orthopaedics · 2025Review
- Surgical factors that contribute to tibial periprosthetic fracture after cementless Oxford Unicompartmental Knee Replacement: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- [Research progress on unicompartmental knee arthroplasty for elderly patients with knee osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Unicompartmental knee replacement: controversies and technical considerations.Arthroplasty (London, England) · 2024Review
- [Successful medial unicompartmental knee arthroplasty-What are the most important surgical tricks?]Orthopadie (Heidelberg, Germany) · 2024Review
- [Implant-associated fracture of the tibial plateau in cementless medial unicondylar knee prosthesis : Locking plate osteosynthesis].Operative Orthopadie und Traumatologie · 2023Article
- Less pain reported 5 years after cementless compared to cemented unicompartmental knee replacement: an analysis of pain, neuropathy, and co-morbidity scores.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Hybrid fixation of unicompartmental knee arthroplasty shows equivalent short-term implant survivorship and clinical scores compared to standard fixation techniques.Archives of orthopaedic and trauma surgery · 2023Article
- [Research progress of failure and revision of unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Cementless unicompartmental knee arthroplasty results in higher pain levels compared to the cemented technique: a prospective register study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- [Focal femoral resurfacing and unicompartmental knee replacement : Between osteotomy and total knee replacement].Der Orthopade · 2021Review
- Cementless knee arthroplasty: a review of recent performance.Bone & joint open · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to report and compare the long-term revision rate, revision indications and patient reported outcome measures of cemented and cementless unicompartmental knee replacements (UKR).
methodsDatabases Medline, Embase and Cochrane Central of Controlled Trials were searched to identify all UKR studies reporting the ≥ 10 year clinical outcomes. Revision rates per 100 component years [% per annum (% pa)] were calculated by fixation type and then, subgroup analyses for fixed and mobile bearing UKRs were performed. Mechanisms of failure and patient reported outcome measures are reported.
results25 studies were eligible for inclusion with a total of 10,736 UKRs, in which there were 8790 cemented and 1946 cementless knee replacements. The revision rate was 0.73% pa (CI 0.66-0.80) and 0.45% pa (CI 0.34-0.58) per 100 component years, respectively, with the cementless having a significantly (p < 0.001) lower overall revision rate. Therefore, based on these studies, the expected 10-year survival of cementless UKR would be 95.5% and cemented 92.7%. Subgroup analysis revealed this difference remained significant for the Oxford UKR (0.37% pa vs 0.77% pa, p < 0.001), but for non-Oxford UKRs there were no significant differences in revision rates of cemented and cementless UKRs (0.57% pa vs 0.69% pa, p = 0.41). Mobile bearing UKRs had significantly lower revision rates than fixed bearing UKRs in cementless (p = 0.001), but not cemented groups (p = 0.13). Overall the revision rates for aseptic loosening and disease progression were significantly lower (p = 0.02 and p = 0.009 respectively) in the cementless group compared to the cemented group (0.06 vs 0.13% pa and 0.10 vs 0.21% pa respectively).
conclusionsCementless fixation had reduced long-term revision rates compared to cemented for the Oxford UKR. For the non-Oxford UKRs, the revision rates of cementless and cemented fixation types were equivalent. Therefore, cementless UKRs offer at least equivalent if not lower revision rates compared to cemented UKRs. LEVEL OF EVIDENCE: III.
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