ArticleClinics in orthopedic surgery2025
Cementless Versus Cemented Fixation in Total Knee Arthroplasty: Analysis of Regional Tibial Bone Density and Clinical Outcome.
Article in Clinics in orthopedic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis 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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cementless versus cemented fixation in robotic-assisted total knee arthroplasty: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- Knee-specific bone quality assessment for cementless total knee arthroplasty candidate selection: a narrative review.Knee surgery & related research · 2026Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Cementless fixation in total knee arthroplasty (TKA) has theoretical advantages of being biological and bone preserving, but some surgeons are less confident in using it given previous reports of high failure rates in some implant designs. This study aimed to investigate the effect of fixation method on tibial bone density, clinical outcome, and survivorship. The main research question was whether fixation method would affect the postoperative change in tibial bone density in TKA. Methods: This study analyzed 53 cementless TKAs and 53 cemented TKAs of the same brand (Triathlon, Stryker). Digital radiological densitometry (DRD) was used to quantify the changes in regional tibial bone density (RTBD) within the first 2 years. Clinical outcome scores and survivorship were recorded. Results: Significant decreases in RTBD were observed in both groups in all tibial regions ( Conclusions: Proximal tibial bone resorption was common in both cementless and cemented TKAs. Cementless fixation preserved more tibial metaphyseal bone globally at 6 months and at the lateral tibial condyle at 24 months. Its early clinical outcomes and survivorship were comparable to those of cemented fixation.
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Registered trials
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