Long term outcome of total knee arthroplasty. The effect of implant fixation (cementless)

Abstract

Total knee arthroplasty (TKA) is one of the most successful operations performed with 95-98 good to excellent results reported at 10-15 years follow up [1]. When it comes to fixation of components the technique can be cemented, cementless or hybrid (cementless femoral and cemented tibial components) [2, 3]. Cemented fixation has resulted in satisfactory long term outcome with low revision rates (Fig. 16.1) [2-5]. However, osteolysis often appears and the long term durability of the interface is questionable, especially in young patients [6, 7]. © Springer-Verlag London 2015.