ArticleArthroplasty (London, England)2024
Trend of using cementless total knee arthroplasty: a nationwide analysis from 2015 to 2021.
Article in Arthroplasty (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Ninety-day readmission and early complications after coding-defined cementless-category versus cemented-category primary total knee arthroplasty.Arthroplasty (London, England) · 2026Article
- Cement mantle thickness in total knee arthroplasty more closely associated with tibial bone density than cement viscosity : findings from a randomized controlled trial.Bone & joint open · 2026Article
- Validation of an Intraoperative Visual Assessment System Based on Bone Mechanical Properties for Selection of Cementless Total Knee Arthroplasty in an Asian Cohort.Journal of clinical medicine · 2026Article
- Cementless vs. Cemented Total Knee Arthroplasty: Reduced Operative Time with Comparable Perioperative Safety-A Retrospective Cohort from a Tertiary Care Center.Journal of clinical medicine · 2025Article
- Cementless total knee arthroplasty in post-traumatic or Post-ACL knees: A case series.Journal of clinical orthopaedics and trauma · 2025Article
- Global trends in fixation methods for primary total knee arthroplasty: An international registry-based analysis and review of outcomes.Journal of orthopaedics · 2025Article
- Cementless total knee arthroplasty: Why, when, and how.Journal of clinical orthopaedics and trauma · 2025Review
- Cemented Versus Cementless Total Knee Arthroplasty: Analysis of the Latest Literature Data.The archives of bone and joint surgery · 2025Article
- Laser Bone Shaping: Current Capabilities and Future Applications in Knee Arthroplasty.JB & JS open accessReview
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundModern cementless total knee arthroplasty (TKA) fixation has shown comparable long-term outcomes to cemented TKA, but the trend of using cementless TKA remains unclear. This study aimed to investigate the trend of using cementless TKA based on a national database.
methodsThe patients undergoing cementless TKA between 2015 and 2021 were retrospectively extracted from the PearlDiver (Mariner dataset) Database. The annual percentage of cementless TKA was calculated using the following formula: annual number of cementless TKA/annual number of TKA. The trend of the number of patients undergoing cementless TKA was created according to a compounded annual growth rate (CAGR) calculation of annual percentages. Patient age, comorbidity, region, insurance type, etc., were also investigated. Differences were considered statistically significant at P < 0.05.
resultsOf the 574,848 patients who received TKA, 546,731 (95%) underwent cemented fixation and 28,117 (5%) underwent cementless fixation. From 2015 to 2021, the use of cementless TKA significantly increased by 242% from 3 to 9% (compounded annual growth rate (CAGR): + 20%; P < 0.05). From 2015 to 2021, we observed a CAGR greater than 15% for all age groups (< 50, 50-59, 60-69, 70-74, 75 +), insurance types (cash, commercial, government, Medicare, Medicaid), regions (Midwest, Northeast, South, West), sex (male and female), and certain comorbidities (osteoporosis, diabetes mellitus, tobacco use, underweight (BMI < 18.5), rheumatoid arthritis) (P < 0.05 for all). Patients undergoing TKA with chronic kidney disease, prior fragility fractures, and dementia demonstrated a CAGR of + 9%-13% from 2015 to 2021 (P < 0.05).
conclusionFrom 2015 to 2021, the use of cementless TKA saw a dramatic increase in all patient populations. However, there is still no consensus on when to cement and in whom. Clinical practice guidelines are needed to ensure safe and effective use of cementless fixation.
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