Enhanced Improvement and Comparable Survivorship in Cementless vs. Cemented Total Knee Arthroplasty: A 2-Year Analysis of Patient Reported Outcomes and 5-Year Analysis of Implant Survivorship Article Swipe
Ignacio Pasqualini
,
Nickelas Huffman
,
Shujaa T Khan
,
Matthew R. Zielinski
,
Jianhua Shen
,
Emily Hampp
,
Michael A. Masini
,
John Noble
,
Manoshi Bhowmik-Stoker
,
Nicolás S. Piuzzi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-5463109/v1
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.21203/rs.3.rs-5463109/v1
Purpose This study aimed to evaluate patient-reported outcomes, functional recovery, satisfaction, and implant survivorship for cementless and cemented TKA. Methods A prospective, non-randomized, multicenter study was conducted on 453 patients. Cohort 1 (n = 373 knees) received a fully cementless construct with the Triathlon Tritanium Tibial Baseplate, Triathlon Tritanium Patella, Triathlon CR or PS Beaded Femur with Peri-Apatite, and the Triathlon Tibial Insert. Cohort 2 (n = 147 knees) received a fully cemented construct with identical implant design. Oxford Knee Score (OKS), 2011 Knee Society Score (KSS), and Short Form 12 (SF12) scores were recorded preoperatively and at six weeks, six months, one year, and two years postoperatively. Implant survivorship and adverse events were also recorded. Results OKS (p = 0.0123), KSS Symptoms for pain (with level walking p = 0.0007; with stairs or incline p = 0.0037), KSS Patient satisfaction (p = 0.0004), and KSS Functional Activities (p = 0.0108) were significantly greater in Cohort 1 out to two years postoperatively. The Kaplan-Meier estimated all-cause survivorship was 98.2% (95% CI: 95.7–99.3%) for Cohort 1 and 97.5% (95% CI: 92.6–99.2%) for Cohort 2 (p = 0.4366). Conclusion Cementless TKA exhibited similar or greater patient outcomes, satisfaction, and function up to two years postoperative, while both cohorts showed comparable rates of adverse events and survivorship at five-year follow-up. This evidence underscores the clinical value and safety of cementless TKA.
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Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.21203/rs.3.rs-5463109/v1
- OA Status
- gold
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4405580126
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4405580126Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.21203/rs.3.rs-5463109/v1Digital Object Identifier
- Title
-
Enhanced Improvement and Comparable Survivorship in Cementless vs. Cemented Total Knee Arthroplasty: A 2-Year Analysis of Patient Reported Outcomes and 5-Year Analysis of Implant SurvivorshipWork title
- Type
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preprintOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-12-19Full publication date if available
- Authors
-
Ignacio Pasqualini, Nickelas Huffman, Shujaa T Khan, Matthew R. Zielinski, Jianhua Shen, Emily Hampp, Michael A. Masini, John Noble, Manoshi Bhowmik-Stoker, Nicolás S. PiuzziList of authors in order
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https://doi.org/10.21203/rs.3.rs-5463109/v1Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.21203/rs.3.rs-5463109/v1Direct OA link when available
- Concepts
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Survivorship curve, Medicine, Implant, Total knee arthroplasty, Arthroplasty, Dentistry, Surgery, Internal medicine, CancerTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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25Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| publication_year | 2024 |
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