Haeberle Heather S, Salem Hytham S, Ehiorobo Joseph O, Sodhi Nipun, Mont Michael A
Department of Orthopaedic Surgery, Baylor University School of Medicine, Houston, Texas.
Northwell Health Orthopaedics, Lenox Hill Hospital, New York, New York.
Surg Technol Int. 2020 May 28;36:351-359.
Although the use of cementless implants in total knee arthroplasty (TKA) has increased in recent years, there is still ongoing debate regarding the optimal method of fixation. The purpose of this review was to evaluate the evidence regarding cementless versus cemented total knee arthroplasty (TKA) with regard to: (1) all-cause survivorship and aseptic survivorship; and (2) patient-reported outcome measures (PROMs) of newer generation TKAs.
A systematic review of all reports on cementless TKA published from January 2010 to February 2019 was performed. A total of 221 articles were evaluated and 39 studies met inclusion criteria for final analysis. Metrics evaluated included all-cause survivorship, aseptic survivorship, and Knee Society Scores (KSS).
Modern cementless TKA provides excellent survivorship and patient-reported outcomes as compared to cemented designs.
Recent studies have demonstrated that newer generation cementless TKAs provide similar functional outcomes and survivorship as compared to cemented TKA. However, additional prospective, randomized trials with long-term follow up are necessary to further compare the outcomes of cementless versus cemented TKA.
尽管近年来全膝关节置换术（TKA）中无骨水泥植入物的使用有所增加，但关于最佳固定方法仍存在争议。本综述的目的是评估关于无骨水泥与有骨水泥全膝关节置换术（TKA）在以下方面的证据：（1）全因生存率和无菌生存率；（2）新一代TKA的患者报告结局指标（PROMs）。
对2010年1月至2019年2月发表的所有关于无骨水泥TKA的报告进行系统综述。共评估了221篇文章，39项研究符合纳入标准进行最终分析。评估的指标包括全因生存率、无菌生存率和膝关节协会评分（KSS）。
与有骨水泥设计相比，现代无骨水泥TKA具有出色的生存率和患者报告结局。
最近的研究表明，与有骨水泥TKA相比，新一代无骨水泥TKA具有相似的功能结局和生存率。然而，需要进行更多具有长期随访的前瞻性随机试验，以进一步比较无骨水泥与有骨水泥TKA的结局。
