Implant survivorship for cementless TKA was comparable to the current gold st and ard cemented TKAs
Cementless  total knee arthroplasty ( TKA )  has had limited use in the United States , however , recent reports have demonstrated promising results , but there has been no meta- analysis to examine these outcomes in the past 5 years .
Cementless LCS rotating-platform knee arthroplasty in patients over 60 years without patella replacement: a mid-term clinical-outcome study.
BACKGROUND The aim of this prospect i ve paper is to present the results of a cementless LCS rotating-platform artificial knee design without resurfacing of the patella in patients over 60 years of age . MATERIAL / METHODS In this prospect i ve series , 234 patients were included with 251 knees . The LCS rotating-platform uncemented design was used in all cases , without replacement of the patella . Thirty-four patients were men and 200 were women . Two hundred three patients were suffering from osteoarthrosis ( 10 bilateral ) and 31 patients ( 7 bilateral ) from rheumatoid arthritis . Seventeen patients had a bilateral procedure . Prophylactic antibiotics and anticoagulants were also instituted to all patients . RESULTS Forty-nine patients developed deep vein thrombosis and responded well to the applied conservative treatment . Overall results in the first 251 cementless cases at 2 to 9.8 years ' follow-up ( average : 5.7 years ) were good to excellent in 94.4 % , fair in 4.7 % , and poor in 0.7 % . Radiographs of the knees showed good bonding and no signs of radiolucency . The average clinical and functional Knee Society Ratings were 21.07 points and 30.95 points , respectively , preoperatively and 87.95 points and 78.56 points , respectively , at the final follow-up evaluation . CONCLUSIONS With an average follow-up of 5.7 years , uncemented LCS rotating-platform knee joint arthroplasty without replacing the patella in patients over 60 years old was found to perform well , with encouraging clinical and radiological results and a survival rate of 98.1 %
Implant survivorship for cementless TKA was comparable to the current gold st and ard cemented TKAs
Cementless  total knee arthroplasty ( TKA )  has had limited use in the United States , however , recent reports have demonstrated promising results , but there has been no meta- analysis to examine these outcomes in the past 5 years .