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.

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.

Keywords: Cement; Cementless; Fixation; Hybrid fixation; Knee osteoarthritis; Total knee arthroplasty.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee* / methods
  • Biomechanical Phenomena
  • Humans
  • Knee Prosthesis
  • Osteoarthritis, Knee / surgery