Evidence map›Paper›PMID 42676903›Full record

ArticleArthroplasty today2026

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.

Arun C Nadar, Essa H Gul, Ryan Pattyn, Sebastien Lustig, Langan S Smith, Joseph D Henningsen, Arthur L Malkani

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Article in Arthroplasty today, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Arun C NadarDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
Essa H GulDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
Ryan PattynDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
Sebastien LustigDepartment of Orthopaedic Surgery, Lyon North University Hospital, Lyon, France.
Langan S SmithULP Orthopedics, UofL Health, Louisville, KY, USA.
Joseph D HenningsenDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
Arthur L MalkaniDepartment of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Younger and more active patients undergoing primary cemented total knee arthroplasty (TKA) have demonstrated increased failure incidence due to multiple factors including aseptic loosening. The purpose of this study was to evaluate results of cementless TKA using a highly porous cementless tibial baseplate in patients aged ≤50 years. Methods: This was a retrospective study of 150 consecutive cementless TKAs in patients aged ≤50 years using the same implant design. Twenty-nine patients were lost-to-follow-up (19.3%), leaving 121 TKAs in 98 patients with minimum 5-year follow-up. There were 41 men and 80 women with mean age of 45.8 years (range, 32-50), mean BMI of 37.5 kg/m Results: There were 11 (9.1%) revisions: 5 (4.1%) for instability, 4 (3.3%) for dissociation of the metal-backed patella from the polyethylene, and 2 for unexplained pain elsewhere. Knee Society function and knee scores improved from means of 46.6 and 39.3 preoperatively to 79.9 and 83.3 postoperatively, respectively ( Conclusions: Cementless TKA utilizing a highly porous baseplate in patients aged ≤50 years with mean 7.6-year follow-up demonstrated excellent survivorship with no revisions due to aseptic loosening. Results of this study using a cementless highly porous tibial baseplate with the advantage of biological fixation appear promising.

Indexed as

Aseptic looseningCementless TKAHighly porous tibial baseplateTotal knee arthroplastyUnder 50 years old

Identifiers

PMID42676903
PMCPMC13528226

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