Journals / Acta Medica / 2021 / Cilt: 52 - Sayı: 4

Non-inferiority of The Cementless Total TKA Compared to The Cemented TKA, A m-Metanalysis

Pages
274–282
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: the results of the current metanalysis suggest the noninferiority of cementless fixation with respect to cemented total knee arthroplasties in terms of clinical outcomes and survival rates of the implants.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Cemented total knee arthroplasty still represents the reference standard in the field of prothesis knee replacement; but since cementless total knee arthroplasties were introduced there have been strong discussions over the years among cemented and non-cemented total knee arthroplasties to establish which gives the best benefits for the patient and for the surgeon.
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Key Findings & Data:The purpose of this meta-analysis is to systematically analyze the use of cemented and cementless total knee arthroplasties by investigating clinical and radiological outcomes and rate of complications, in order to assess which techniques confers more benefits to the patient and the surgeon.
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Conclusion & Impact:Conclusion: the results of the current metanalysis suggest the noninferiority of cementless fixation with respect to cemented total knee arthroplasties in terms of clinical outcomes and survival rates of the implants.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Cemented total knee arthroplasty still represents the reference standard in the field of prothesis knee replacement; but since cementless total knee arthroplasties were introduced there have been strong discussions over the years among cemented and non-cemented total knee arthroplasties to establish which gives the best benefits for the patient and for the surgeon. The purpose of this meta-analysis is to systematically analyze the use of cemented and cementless total knee arthroplasties by investigating clinical and radiological outcomes and rate of complications, in order to assess which techniques confers more benefits to the patient and the surgeon. Materials and Methods: The current systematic review has been written in accordance to the Cochrane handbook and the PRISMA statement for reporting of systematic reviews incorporating network. Results: Six randomized controlled trials were finally included in this systematic review. The statistical analysis revealed no significant differences in all clinical scores of interest (Knee Society Score, clinical and functional, Oxford Knee Score, Visual Analogue Score) and a similar revision rate. Conclusion: the results of the current metanalysis suggest the noninferiority of cementless fixation with respect to cemented total knee arthroplasties in terms of clinical outcomes and survival rates of the implants.

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Cite This Article

Bonanzinga, T., Garibaldi, R., Adravanti, F., Fusco, G., Marcacci, M., Gambaro, F. M. (2022). Non-inferiority of The Cementless Total TKA Compared to The Cemented TKA, A m-Metanalysis. Acta Medica, Cilt: 52 - Sayı: 4, 274–282. https://ajindex.com/articles/427534

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References (11)

  1. Kurtz SM, Lau E, Ong K, et al. Future Young Patient Demand for Primary and Revision Joint Replacement: National Projections from 2010 to 2030. Clin Orthop Relat Res 2009; 467: 2606-12.
  2. Gandhi R, Tsvetkov D, Davey JR, et al. Survival and clinical function of cemented and uncemented prostheses in total knee replacement: a meta-analysis. J Bone Joint Surg Br 2009; 91: 889-95. https://doi.org/10.1302/0301- 620X.91B7.21702
  3. Zhou K, Yu H, Li J, Wang H, et al. No difference in implant survivorship and clinical outcomes between fullcementless and full-cemented fixation in primary total knee arthroplasty: A systematic review and meta-analysis. Int J Surg 2018; 53: 312-9. https://doi.org/10.1016/j. ijsu.2018.04.015
  4. Berger RA, Lyon JH, Jacobs JJ, et al. Problems with cementless total knee arthroplasty at 11 years followup. Clin Orthop Relat Res 2001: 196-207. https://doi. org/10.1097/00003086-200111000-00024
  5. Karageorgiou V, Kaplan D. Porosity of 3D biomaterial scaffolds and osteogenesis. Biomaterials 2005; 26: 5474- 91.
  6. Henricson A, Linder L, Nilsson KG. A trabecular metal tibial component in total knee replacement in patients younger than 60 years: a two-year radiostereophotogrammetric analysis. J Bone Joint Surg Br 2008; 90: 1585-93. https:// doi.org/10.1302/0301-620X.90B12.20797
  7. Fernandez-Fairen M, Hernández-Vaquero D, Murcia A, et al. Trabecular metal in total knee arthroplasty associated with higher knee scores: a randomized controlled trial. Clin Orthop Relat Res 2013; 471: 3543-53. https://doi. org/10.1007/s11999-013-3183-4 [8] Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series n.d.:674
  8. Kendall C, Maskalyk J, Palepu A. Closing Open Medicine. Open Med 2014; 8: e147-9
  9. Schulz KF, Altman DG, Moher D. CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010; 340: c332.
  10. Fricka KB, McAsey CJ, Sritulanondha S. To Cement or Not? Five-Year Results of a Prospective, Randomized Study Comparing Cemented vs Cementless Total Knee Arthroplasty. J Arthroplasty 2019; 34: S183-7. https://doi. org/10.1016/j.arth.2019.02.024
  11. Fricka KB, Sritulanondha S, McAsey CJ. To Cement or Not? Two-Year Results of a Prospective, Randomized Study Comparing Cemented Vs. Cementless Total Knee Arthroplasty (TKA).