全膝关节置换术的固定选择：全面文献回顾。
Fixation options for total knee arthroplasty: a comprehensive literature review.
机构信息
Department of Orthopaedic Surgery, Hospital General Universitario Reina Sofía, Avenida Intendente Jorge Palacios 1, 30003, Murcia, Spain.
Instituto de Cirugía Avanzada de la Rodilla (ICAR), C/ Barítono Marcos Redondo 1, 7b, 30005, Murcia, Spain.
出版信息
J Orthop Surg Res. 2024 Aug 6;19(1):463. doi: 10.1186/s13018-024-04966-8.
Abstract
Total knee arthroplasty is a consistently successful, cost-efficient, and highly effective surgical procedure for treating severe knee osteoarthritis. The success and longevity of total knee arthroplasty depend significantly on the fixation method used to secure the prosthetic components. This comprehensive review examines the primary fixation methods (cemented, cementless, and hybrid fixation), analysing their biomechanics, clinical outcomes, advantages, and disadvantages, focusing on recent advances and trends in total knee arthroplasty fixation.
摘要
全膝关节置换术是治疗严重膝关节骨关节炎的一种始终成功、具有成本效益且高度有效的手术。全膝关节置换术的成功和寿命在很大程度上取决于用于固定假体组件的固定方法。本综述主要探讨了全膝关节置换术固定的主要固定方法（骨水泥固定、非骨水泥固定和混合固定），分析了它们的生物力学、临床结果、优缺点，并重点介绍了全膝关节置换术固定的最新进展和趋势。
相似文献
1
Fixation options for total knee arthroplasty: a comprehensive literature review.
J Orthop Surg Res. 2024 Aug 6;19(1):463. doi: 10.1186/s13018-024-04966-8.
2
Cementless Versus Cemented Tibial Fixation in Posterior Stabilized Total Knee Replacement: A Randomized Trial.
J Bone Joint Surg Am. 2020 Jun 17;102(12):1075-1082. doi: 10.2106/JBJS.19.01010.
3
Cemented versus cementless fixation of a tibial component in LCS mobile-bearing total knee arthroplasty performed by a single surgeon.
J Arthroplasty. 2014 Dec;29(12):2397-401. doi: 10.1016/j.arth.2014.03.006. Epub 2014 Mar 13.
4
Hybrid fixation of unicompartmental knee arthroplasty shows equivalent short-term implant survivorship and clinical scores compared to standard fixation techniques.
Arch Orthop Trauma Surg. 2023 Jul;143(7):4401-4409. doi: 10.1007/s00402-022-04710-z. Epub 2022 Dec 2.
5
No difference in implant survivorship and clinical outcomes between full-cementless and full-cemented fixation in primary total knee arthroplasty: A systematic review and meta-analysis.
Int J Surg. 2018 May;53:312-319. doi: 10.1016/j.ijsu.2018.04.015. Epub 2018 Apr 12.
6
Cementless total knee arthroplasty: current concepts review.
Bone Joint J. 2016 Jul;98-B(7):867-73. doi: 10.1302/0301-620X.98B7.37367.
7
Better clinical outcomes and overall higher survival with hybrid versus cemented primary total knee arthroplasty: a minimum 15 years follow-up.
Knee Surg Sports Traumatol Arthrosc. 2021 Mar;29(3):832-837. doi: 10.1007/s00167-020-06028-y. Epub 2020 Apr 28.
8
Cementless fixation in medial unicompartmental knee arthroplasty: a systematic review.
Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):736-745. doi: 10.1007/s00167-016-4244-5. Epub 2016 Jul 19.
9
The cost of implanting a cemented cementless total knee arthroplasty.
Bone Joint J. 2019 Jul;101-B(7_Supple_C):61-63. doi: 10.1302/0301-620X.101B7.BJJ-2018-1470.R1.
10
Hydroxyapatite-coated tibial implants compared with cemented tibial fixation in primary total knee arthroplasty. A randomized trial of outcomes at five years.
J Bone Joint Surg Am. 2007 Oct;89(10):2204-11. doi: 10.2106/JBJS.F.01431.
引用本文的文献
1
Clinical and Functional Outcomes Following Primary Total Knee Arthroplasty in Patients With Knee Osteoarthritis: A Prospective Study.
Cureus. 2025 Jun 29;17(6):e86944. doi: 10.7759/cureus.86944. eCollection 2025 Jun.
2
The relationship between stress shielding, bone density changes and implant migration, failure and fracture after total knee arthroplasty: A systematic review.
J Exp Orthop. 2025 Jul 13;12(3):e70350. doi: 10.1002/jeo2.70350. eCollection 2025 Jul.
本文引用的文献
1
Relationship between cement penetration and incidence of a radiolucent line around the tibia 2 years after total knee arthroplasty: A retrospective study.
J ISAKOS. 2024 Aug;9(4):609-614. doi: 10.1016/j.jisako.2024.05.015. Epub 2024 May 31.
2
Factors influencing periprosthetic bone mineral density in total knee arthroplasty: a systematic review.
Arch Orthop Trauma Surg. 2024 May;144(5):2273-2281. doi: 10.1007/s00402-024-05308-3. Epub 2024 Apr 14.
3
Cementless Total Knee Arthroplasty: A Resurgence-Who, When, Where, and How?
J Arthroplasty. 2024 Sep;39(9S2):S45-S53. doi: 10.1016/j.arth.2024.02.078. Epub 2024 Mar 7.
4
A novel computational workflow to holistically assess total knee arthroplasty biomechanics identifies subject-specific effects of joint mechanics on implant fixation.
J Biomech. 2024 Feb;164:111973. doi: 10.1016/j.jbiomech.2024.111973. Epub 2024 Feb 3.
5
6-month migration sufficient for evaluation of total knee replacements: a systematic review and meta-analysis.
Acta Orthop. 2023 Nov 30;94:577-587. doi: 10.2340/17453674.2023.24579.
6
Postoperative Hemodynamics of Total Knee Arthroplasty Unaffected by Cementless Approach under Contemporary Patient Blood Management Protocol: A Propensity Score-Matched Study.
J Clin Med. 2023 Nov 8;12(22):6980. doi: 10.3390/jcm12226980.
7
Knee kinematics are primarily determined by implant alignment but knee kinetics are mainly influenced by muscle coordination strategy.
J Biomech. 2023 Dec;161:111851. doi: 10.1016/j.jbiomech.2023.111851. Epub 2023 Oct 25.
8
Cementing Techniques In Knee Surgery (CeTIKS): a UK expert consensus study.
Bone Jt Open. 2023 Sep 6;4(9):682-688. doi: 10.1302/2633-1462.49.BJO-2023-0032.R1.
9
No Blood Loss Increase in Cementless vs. Cemented Fixation Following Bilateral Total Knee Arthroplasty: A Propensity Score Matching Study.
Medicina (Kaunas). 2023 Aug 12;59(8):1458. doi: 10.3390/medicina59081458.
10
Highlights of the 2022 American Joint Replacement Registry Annual Report.
Arthroplast Today. 2023 Apr 25;21:101137. doi: 10.1016/j.artd.2023.101137. eCollection 2023 Jun.
Zotero 插件