ReviewEFORT open reviews2020
Cemented vs. cementless fixation in primary total knee arthroplasty: a systematic review and meta-analysis.
Review in EFORT open reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 6-month migration sufficient for evaluation of total knee replacements: a systematic review and meta-analysis.Acta orthopaedica · 2023Pooled it
- Long-term effects of cemented and cementless fixations of total knee arthroplasty: a meta-analysis and systematic review of randomized controlled trials.Journal of orthopaedic surgery and research · 2021Pooled it
- Randomized Controlled Trial of a Novel Cementless vs. Cemented Total Knee Arthroplasty: Early Clinical and Radiographic Outcomes.Orthopaedic surgery · 2024Trial
- Highlighting the Advantages and Benefits of Non-NSAID Treatment After Total Knee Arthroplasty: A Cross-sectional Study.In vivo (Athens, Greece)Trial
- Early Results of Unrestricted Kinematic Alignment in Cementless Total Knee Arthroplasty.Arthroplasty today · 2026Article
- Cementless versus hybrid fixation in primary total knee arthroplasty: a propensity score-matched analysis of mid-term outcomes.Arthroplasty (London, England) · 2026Article
- Thirty-year outcomes of cemented versus cementless posterior-stabilized total knee arthroplasty.International orthopaedics · 2026Article
- Five-year implant survival does not differ between hybrid and cementless total knee arthroplasty in a cohort of 5361 patients using a deep-dish mobile bearing design.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Comparative analysis of supervised machine learning models for predicting surgeon fixation choice in total knee arthroplasty.BMC medical informatics and decision making · 2026Article
- Uncemented total knee arthroplasty is associated with higher complication rates: a propensity-matched retrospective study.Archives of orthopaedic and trauma surgery · 2026Article
- The presence of a positive blood culture should be regarded a risk factor for DAIR failure in cases of haematogenous total knee arthroplasty infection.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026Article
- Cementless Versus Cemented Fixation in Total Knee Arthroplasty: Analysis of Regional Tibial Bone Density and Clinical Outcome.Clinics in orthopedic surgery · 2025Article
- Article
- Cementless Tibial Fixation Results in Slower Recovery but Equivalent Outcome at 12 months in Primary Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Global trends in fixation methods for primary total knee arthroplasty: An international registry-based analysis and review of outcomes.Journal of orthopaedics · 2025Article
- No difference in 5-year survivorship between cemented versus cementless total knee arthroplasty in a cohort of 5266 patients using a deep-dish mobile bearing implant.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Femoral Component Loosening is the Predominant Mode of Early Failure in Contemporary Cementless Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Fixation in total knee arthroplasty: are cemented implants still mandatory in younger and obese patients?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- Comparative analysis of early radiolucencies in cementless versus cemented total knee arthroplasty.Bone & joint open · 2025Article
- Increased risk of deep vein thrombosis and surgical site infection in cemented total knee arthroplasty: A nationwide propensity score-matched study in Japan.Archives of orthopaedic and trauma surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Over 100,000 total knee replacements (TKRs) are carried out in the UK annually, with cemented fixation accounting for approximately 95% of all primary TKRs. In Australia, 68.1% of all primary TKRs use cemented fixation, and only 10.9% use cementless fixation. However, there has been a renewed interest in cementless fixation as a result of improvements in implant design and manufacturing technology.This meta-analysis aimed to compare the outcomes of cemented and cementless fixation in primary TKR. Outcome measures included the revision rate and patient-reported functional scores.MEDLINE and EMBASE were searched from the earliest available date to November 2018 for randomized controlled trials of primary TKAs comparing cemented versus cementless fixation outcomes.Six studies met our inclusion criteria and were analysed. A total of 755 knees were included; 356 knees underwent cemented fixation, 399 underwent cementless fixation. They were followed up for an average of 8.4 years (range: 2.0 to 16.6).This study found no significant difference in revision rates and knee function in cemented versus cementless TKR at up to 16.6-year follow-up. Cite this article:
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.