Evidence map›Paper›PMID 35655250›Full record

ArticleArthroplasty (London, England)2022

Clinical outcomes and survivorship of cementless triathlon total knee arthroplasties: a systematic review.

Brian J Carlson, Adam S Gerry, Jeffrey D Hassebrock, Zachary K Christopher, Mark J Spangehl, Joshua S Bingham

Open access · diamondAbstract read
In one paragraph

Article in Arthroplasty (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Metal Fatigue Fracture After Revision Total Knee Arthroplasty: A Retrieval Analysis.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  3. Article
  4. Article
  5. New Horizons of Cementless Total Knee Arthroplasty.Journal of clinical medicine · 2023
    Review
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Brian J CarlsonDepartment of Orthopedics, Mayo Clinic Arizona, 5777 E Mayo Boulevard, Maricopa, Phoenix, AZ, 85260, USA.
Adam S GerryElson S. Floyd College of Medicine, Washington State University, 412 E Spokane Falls Blvd, Spokane, Whitman, WA, 99202, USA.
Jeffrey D HassebrockMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave. Glendale, Los Angeles, AZ, 85308, USA.
Zachary K ChristopherMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave. Glendale, Los Angeles, AZ, 85308, USA. christopher.zachary@mayo.edu.
Mark J SpangehlMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave. Glendale, Los Angeles, AZ, 85308, USA.
Joshua S BinghamMidwestern University, Arizona College of Osteopathic Medicine, 19555 N 59th Ave. Glendale, Los Angeles, AZ, 85308, USA.
Midwestern University · USMayo Clinic in Florida · USWashington State University Spokane · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOver the last decade, cementless total knee arthroplasty has demonstrated improved outcomes and survivorship due to advances in technologies of implant design, manufacturing capabilities, and biomaterials. Due to increasing interest in cementless implant design for TKA, our aim was to perform a systematic review of the literature to evaluate the clinical outcomes and revision rates of the Triathlon Total Knee system over the past decade.

methodsA systematic review of the literature was conducted following PRISMA guidelines for patients who underwent total knee arthroplasty with cementless Triathalon Total Knee System implants. Patients had a minimum of two-year follow-up and data included clinical outcome scores and survivorship data.

resultsTwenty studies were included in the final analysis. The survivability of the Stryker Triathlon TKA due to all causes was 98.7%, with an aseptic survivability of 99.2%. The overall revision incidence per 1,000 person-years was 3.4. Re-revision incidence per 1,000 person-years was 2.2 for infection, and 1.3 for aseptic loosening. The average KSS for pain was 92.2 and the average KSS for function was 82.7.

conclusionsThis systematic review demonstrated excellent clinical outcomes and survivorship at a mean time of 3.8 years. Additional research is necessary to examine the long-term success of the Stryker Triathlon TKA and the use of cementless TKAs in obese and younger populations. LEVEL OF EVIDENCE: III.

Indexed as

CementlessOutcomesSurvivorshipTotal knee arthroplastyTriathlon

Identifiers

PMID35655250
PMCPMC9164316
OpenAlexW4281994673

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.