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Early outcomes of a modern cemented total knee arthroplasty: Is tibial loosening a concern

The Bone & Joint Journal Jun 10, 2021

Yang JW, Heckmann ND, Nahhas CR, et al. - This study attempted to present the early performance of a modern, cemented total knee arthroplasty (TKA) design. Between 2012 and 2017, researchers enrolled all patients who received a primary, cemented TKA with a minimum two-year follow-up. They recorded Knee Society Scores, component alignment, and the presence of radiolucent lines at final follow-up. They conducted Kaplan-Meier analyses to calculate survivorship. In this study, a total of 720 of 754 primary TKAs (95.5%) were enrolled with a mean follow-up of 3.9 years (SD 1.3); 562 (78.1%) were cruciate-retaining and 158 (21.9%) were posterior-stabilized. The rate of aseptic tibial loosening is not overly concerning at short-term follow-up. There is a need for further observation to ascertain whether there will be an abnormal rate of loosening at mid- to long-term follow-up.

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