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DOI: 10.1055/s-0043-1772194
Comparative Analysis of the Tibial Component Migration After Cemented and Uncemented Total Knee Arthroplasty with a Hydroxyapatite Coating in Two, Five, and Ten Years: A Meta-Analysis[*]
Article in several languages: português | English Financial Support This study received no specific grant from public, commercial, or not-for-profit funding agencies.
Abstract
Objective This study evaluated and compared the tibial component migration in cemented and uncemented total knee arthroplasty (TKA) with no hydroxyapatite coating 2, 5, and 10 years after surgery.
Methods This meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) based on PubMed and MeSH database queries from June to July 2022.
Results The meta-analysis included eight randomized clinical studies evaluating 668 knees undergoing TKA. The maximum total point motion (MTPM) in cemented TKAs was higher in 5 years, with a mean value of 0.67 mm (95% confidence interval [CI], 0.52 to 0.87). Uncemented TKAs also presented higher mean MTPM in 5 years (1 mm; 95% CI, 0.82 to 1.22). Uncemented coated ATKs had a higher mean MTPM in 10 years (1.30 mm; 95% CI, 0.70 to 2.39). MTPM was statistically similar in the short- and long-term for cemented and uncemented techniques, with a standardized mean difference of -0.65 (95% CI, -1.65 to 0.35).
Conclusion Tibial component migration in TKA was statistically similar at 2, 5, and 10 years in cemented and uncemented techniques, either with or without coating. However, due to the scarce literature, further studies are required with a longer follow-up time.
* Work developed at Hospital Porto Dias, Serviço de Ortopedia e Traumatologia, Belém, Pará, Brazil.
Publication History
Received: 02 December 2022
Accepted: 07 February 2023
Article published online:
30 August 2023
© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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Referências
- 1 Kurtz SM, Ong KL, Lau E. et al. International survey of primary and revision total knee replacement. Int Orthop 2011; 35 (12) 1783-1789
- 2 Bercovy M, Beldame J, Lefebvre B, Duron A. A prospective clinical and radiological study comparing hydroxyapatite-coated with cemented tibial components in total knee replacement. J Bone Joint Surg Br 2012; 94 (04) 497-503
- 3 Freitas DE, Augusto L. Síntese E Caracterização De Hidroxiapatita Porosa Com Propriedades Osteoativas [tese]. Londrina: Universidade Tecnológica Federal do Paraná; 2020
- 4 Wilson DAJ, Richardson G, Hennigar AW, Dunbar MJ. Continued stabilization of trabecular metal tibial monoblock total knee arthroplasty components at 5 years-measured with radiostereometric analysis. Acta Orthop 2012; 83 (01) 36-40
- 5 Henricson A, Nilsson KG. Trabecular metal tibial knee component still stable at 10 years. Acta Orthop 2016; 87 (05) 504-510
- 6 Pijls BG, Valstar ER, Kaptein BL, Fiocco M, Nelissen RG. The beneficial effect of hydroxyapatite lasts: a randomized radiostereometric trial comparing hydroxyapatite-coated, uncoated, and cemented tibial components for up to 16 years. Acta Orthop 2012; 83 (02) 135-141
- 7 Heesterbeek PJ, Wymenga AB, van Hellemondt GG. Micromotion Between Hybrid Fixation and Fully Cemented Revision Total Knee Arthroplasty. No Difference in Implant Micromotion Between Hybrid Fixation and Fully Cemented Revision Total Knee Arthroplasty: A Randomized Controlled Trial with Radiostereometric Analysis of Patients with Mild-to-Moderate Bone Loss. J Bone Joint Surg Am 2016; 98 (16) 1359-1369
- 8 Laende EK, Astephen Wilson JL, Mills Flemming J, Valstar ER, Richardson CG, Dunbar MJ. Equivalent 2-year stabilization of uncemented tibial component migration despite higher early migration compared with cemented fixation: an RSA study on 360 total knee arthroplasties. Acta Orthop 2019; 90 (02) 172-178
- 9 van Hamersveld KT, Marang-van de Mheen PJ, Tsonaka R, Valstar ER, Toksvig-Larsen S. Fixation and clinical outcome of uncemented peri-apatite-coated versus cemented total knee arthroplasty : five-year follow-up of a randomised controlled trial using radiostereometric analysis (RSA). Bone Joint J 2017; 99-B (11) 1467-1476
- 10 Van Hamersveld KT, Marang-Van De Mheen PJ, Nelissen RGHH, Toksvig-Larsen S. Peri-apatite coating decreases uncemented tibial component migration: long-term RSA results of a randomized controlled trial and limitations of short-term results. Acta Orthop 2018; 89 (04) 425-430
- 11 Henricson A, Rösmark D, Nilsson KG. Trabecular metal tibia still stable at 5 years: an RSA study of 36 patients aged less than 60 years. Acta Orthop 2013; 84 (04) 398-405
- 12 Newman JM, Sodhi N, Dekis JC. et al. Survivorship and Functional Outcomes of Cementless versus Cemented Total Knee Arthroplasty: A Meta-Analysis. J Knee Surg 2020; 33 (03) 270-278
- 13 Xu J, von Fritsch L, Sabah SA, Price AJ, Alvand A. Implant survivorship, functional outcomes and complications with the use of rotating hinge knee implants: a systematic review. Knee Surg Relat Res 2022; 34 (01) 9