Cemented Versus Noncemented Total Knee Arthroplasty Outcomes. Issue 6 (15th March 2022)
- Record Type:
- Journal Article
- Title:
- Cemented Versus Noncemented Total Knee Arthroplasty Outcomes. Issue 6 (15th March 2022)
- Main Title:
- Cemented Versus Noncemented Total Knee Arthroplasty Outcomes
- Authors:
- Stavrakis, Alexandra
Arshi, Armin
Chiou, Daniel
Hsiue, Peter
Horneff, John Gabriel
Photopoulos, Christos - Abstract:
- Abstract : Introduction: Aseptic loosening remains one of the most common indications for revision total knee arthroplasty (TKA). Given the demographic shift to a younger and more active TKA patient population, some surgeons have revisited noncemented fixation given its potential for lower rates of long-term aseptic loosening. The purpose of this study was to compare the demographics and complications between patients undergoing noncemented and cemented TKA. Methods: Using the MKnee subset of the PearlDiver database, diagnosis and procedure codes were used to identify patients who had undergone cemented or noncemented TKA for osteoarthritis with a minimum 2-year follow-up. Propensity score matching was done to compare risk-adjusted medical and surgical complication profiles at 90 days, 1 year, and 2 years. Results: Of 203, 574 patients identified, 3.2% underwent noncemented TKA and 96.8% underwent cemented TKA. Using propensity-matched analysis, there was no difference in 90-day medical complications. Noncemented TKA was associated with a greater risk of periprosthetic joint infection throughout the study (90-day odds ratio [OR] 1.34, 1-year OR 1.27, 2-year OR 1.27, P < 0.05). Noncemented TKA was associated with a greater risk of periprosthetic fracture at 1 year and 2 years (1 year OR 2.19, 2 years OR 1.89, P < 0.05). No notable difference was observed in risk of aseptic loosening between the two groups. Discussion: Noncemented TKA is associated with a higher rate ofAbstract : Introduction: Aseptic loosening remains one of the most common indications for revision total knee arthroplasty (TKA). Given the demographic shift to a younger and more active TKA patient population, some surgeons have revisited noncemented fixation given its potential for lower rates of long-term aseptic loosening. The purpose of this study was to compare the demographics and complications between patients undergoing noncemented and cemented TKA. Methods: Using the MKnee subset of the PearlDiver database, diagnosis and procedure codes were used to identify patients who had undergone cemented or noncemented TKA for osteoarthritis with a minimum 2-year follow-up. Propensity score matching was done to compare risk-adjusted medical and surgical complication profiles at 90 days, 1 year, and 2 years. Results: Of 203, 574 patients identified, 3.2% underwent noncemented TKA and 96.8% underwent cemented TKA. Using propensity-matched analysis, there was no difference in 90-day medical complications. Noncemented TKA was associated with a greater risk of periprosthetic joint infection throughout the study (90-day odds ratio [OR] 1.34, 1-year OR 1.27, 2-year OR 1.27, P < 0.05). Noncemented TKA was associated with a greater risk of periprosthetic fracture at 1 year and 2 years (1 year OR 2.19, 2 years OR 1.89, P < 0.05). No notable difference was observed in risk of aseptic loosening between the two groups. Discussion: Noncemented TKA is associated with a higher rate of periprosthetic joint infection and periprosthetic fracture. Additional studies are needed to compare long-term rates of aseptic loosening between noncemented and cemented TKA. Level of Evidence: Level III … (more)
- Is Part Of:
- Journal of the American Academy of Orthopaedic Surgeons. Volume 30:Issue 6(2022)
- Journal:
- Journal of the American Academy of Orthopaedic Surgeons
- Issue:
- Volume 30:Issue 6(2022)
- Issue Display:
- Volume 30, Issue 6 (2022)
- Year:
- 2022
- Volume:
- 30
- Issue:
- 6
- Issue Sort Value:
- 2022-0030-0006-0000
- Page Start:
- Page End:
- Publication Date:
- 2022-03-15
- Subjects:
- Orthopedics -- Periodicals
Orthopedic surgery -- Periodicals
Joint Diseases -- Periodicals
Orthopedics -- Periodicals
Orthopedic surgery
Orthopedics
Periodicals
616.7005 - Journal URLs:
- http://www.jaaos.org/ ↗
https://www.lww.co.uk ↗ - DOI:
- 10.5435/JAAOS-D-21-00353 ↗
- Languages:
- English
- ISSNs:
- 1067-151X
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4683.732000
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