SynthesisJournal of orthopaedic surgery and research2021
A comprehensive comparison between cementless and cemented fixation in the total knee arthroplasty: an updated systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cementless versus cemented fixation in robotic-assisted total knee arthroplasty: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Factors influencing periprosthetic bone mineral density in total knee arthroplasty: a systematic review.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Primary Total Knee Arthroplasty Using a Cementless Highly Porous Titanium Tibial Baseplate in Patients Under the Age of 50: An Average 7.6-year Follow-up.Arthroplasty today · 2026Article
- Cement compression device for cemented total knee arthroplasty : a randomized controlled trial.Bone & joint open · 2026Article
- Cementless versus hybrid fixation in primary total knee arthroplasty: a propensity score-matched analysis of mid-term outcomes.Arthroplasty (London, England) · 2026Article
- [Good recovery of leisure activities and sport after primary implantation of cementless knee arthroplasty after 5 years : A retrospective study].Orthopadie (Heidelberg, Germany) · 2026Article
- Evaluation of Composites Comprising Spherical, Porous, Sintered β-Tricalcium Phosphate Particles and Cyanoacrylate as Bone Cement.Journal of functional biomaterials · 2025Article
- Review
- 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
- 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
- Mid-term radiographic evaluation of a monoblock trabecular metal tibia following total knee arthroplasty in obese and morbidly obese patients.Archives of orthopaedic and trauma surgery · 2024Article
- Review of recent advances in the diagnosis and management of periprosthetic joint infection after total knee arthroplasty part 2: single-stage or two-stage surgical technique?Journal of orthopaedic surgery and research · 2024Review
- The COVID-19 pandemic caused gender-specific declines in knee surgery rates in Sweden from 2020 to 2021.Journal of experimental orthopaedics · 2024Article
- Fixation options for total knee arthroplasty: a comprehensive literature review.Journal of orthopaedic surgery and research · 2024Review
- Comprehensive evaluation of risk factors for aseptic loosening in cemented total knee arthroplasty: A systematic review and meta-analysis.Journal of experimental orthopaedics · 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
- Cementless medial pivot design demonstrates equal or better outcomes compared to cementless cruciate-retaining design following total knee arthroplasty.Journal of orthopaedics · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhether the cement should be used in the total knee arthroplasty (TKA) was still in controversy. This meta-analysis was performed to compare the efficacy of two kinds of fixation.
methodsRandomized controlled trials (RCTs), prospective/retrospective observational studies from PubMed (on 2019 September), EMBASE (on 2019 September), and the Cochrane Central Register of Controlled Trials (CENTRAL) and Web of Science (on 2019 September) were searched. Only studies followed more than 2 years was included for the review. The PRISMA guidelines and Cochrane Handbook were adopted to assess the quality of the results reported in included studies to ensure that the results of our meta-analysis were reliable and veritable. The continuous and dichotomous outcomes were collected in a standard form, and the data were analyzed by Review Manager 5.3 software. Finally, the results were presented in the Forest plots.
resultsTwenty-six studies involving 2369 patients in cementless TKA and 2654 patients in cemented TKA were included. The rate of revision was not significantly different in two groups (p = 0.55). More than eight reasons caused revision were found in our study, the aseptic loosing was the most common, followed by the periprosthetic joint infection (PJI), neither was significantly different (p = 0.88 and 0.45, respectively). While significantly better long-term functional recovery was found in cementless TKA in terms of Knee Society Function Score (p = 0.004) and manipulation under anesthesia (p = 0.007).
conclusionCementless fixation did not decrease the rate of revision after the total knee arthroplasty compared with the cemented fixation, while the long-term functional recovery was significantly better in the cementless group.
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