ArticleBone & joint open2021
Cementless knee arthroplasty: a review of recent performance.
Article in Bone & joint open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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
21 citing papers in PubMed, 45 citations in OpenAlex.
- No difference in long-term micromotion between fully cemented and hybrid fixation in revision total knee arthroplasty: a randomized controlled trial.The bone & joint journal · 2022Trial
- [Effectiveness of cementless total knee arthroplasty with three-dimensional-printed trabecular metal interface].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Ninety-day readmission and early complications after coding-defined cementless-category versus cemented-category primary total knee arthroplasty.Arthroplasty (London, England) · 2026Article
- Femoral Component Loosening is the Predominant Mode of Early Failure in Contemporary Cementless Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Long-term outcomes of a 3D printed cementless fixed bearing unicompartmental knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- Cementless total knee arthroplasty: Why, when, and how.Journal of clinical orthopaedics and trauma · 2025Review
- Inducible Displacement of Cementless Femoral and Tibial Components Throughout Weight-bearing Flexion.Arthroplasty today · 2025Article
- Long-Term Outcomes of Cementless Versus Hybrid Cemented Total Knee Arthroplasty: A Minimum 10-Year Follow-Up.Journal of clinical medicine · 2025Article
- Improved performance of cementless total knee arthroplasty (TKA)across international registries: a comparative review.Irish journal of medical science · 2025Review
- Robotic Assistance Is Not Associated With Decreased Early Revisions in Cementless TKA: An Analysis of the American Joint Replacement Registry.Clinical orthopaedics and related research · 2025Article
- Cementless fixation in total knee arthroplasty: current evidence and future perspective.Archives of orthopaedic and trauma surgery · 2024Review
- Cementless Versus Cemented Total Knee Arthroplasty of the Same Design: Shorter Operative Times and Minimal Differences in Early Outcomes.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Article
- Comparison of bilateral cementless total knee arthroplasty results between patients in different BMI groups.Archives of orthopaedic and trauma surgery · 2024Article
- [Successful medial unicompartmental knee arthroplasty-What are the most important surgical tricks?]Orthopadie (Heidelberg, Germany) · 2024Review
- Advantages of Simultaneous Cementless Bilateral Unicondylar Knee Arthroplasty Compared to Staged Surgery.Clinics in orthopedic 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
- Total Knee Replacement with an Uncemented Porous Tantalum Tibia Component: A Failure Analysis.Materials (Basel, Switzerland) · 2022Article
- Capacitive interdigitated system of high osteoinductive/conductive performance for personalized acting-sensing implants.NPJ Regenerative medicine · 2021Article
- Risk Factors and a Nomogram Model Establishment for Postoperative Delirium in Elderly Patients Undergoing Arthroplasty Surgery: A Single-Center Retrospective Study.BioMed research international · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cementless knee arthroplasty has seen a recent resurgence in popularity due to conceptual advantages, including improved osseointegration providing biological fixation, increased surgical efficiency, and reduced systemic complications associated with cement impaction and wear from cement debris. Increasingly younger and higher demand patients are requiring knee arthroplasty, and as such, there is optimism cementless fixation may improve implant survivorship and functional outcomes. Compared to cemented implants, the National Joint Registry (NJR) currently reports higher revision rates in cementless total knee arthroplasty (TKA), but lower in unicompartmental knee arthroplasty (UKA). However, recent studies are beginning to show excellent outcomes with cementless implants, particularly with UKA which has shown superior performance to cemented varieties. Cementless TKA has yet to show long-term benefit, and currently performs equivalently to cemented in short- to medium-term cohort studies. However, with novel concepts including 3D-printed coatings, robotic-assisted surgery, radiostereometric analysis, and kinematic or functional knee alignment principles, it is hoped they may help improve the outcomes of cementless TKA in the long-term. In addition, though cementless implant costs remain higher due to novel implant coatings, it is speculated cost-effectiveness can be achieved through greater surgical efficiency and potential reduction in revision costs. There is paucity of level one data on long-term outcomes between fixation methods and the cost-effectiveness of modern cementless knee arthroplasty. This review explores recent literature on cementless knee arthroplasty, with regards to clinical outcomes, implant survivorship, complications, and cost-effectiveness; providing a concise update to assist clinicians on implant choice. Cite this article:
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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.