The Journal of the American Academy of Orthopaedic Surgeons | 2021 | Siddiqi A, Mont MA, Krebs VE, Piuzzi NS
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[Indexed for MEDLINE] 10. Orthop Clin North Am. 2024 Jul;55(3):333-343. doi: 10.1016/j.ocl.2024.02.003. Epub 2024 Mar 23. Cementless Total Knee Arthroplasty: Is it Safe in Demineralized Bone? Deans C(1), Zitsch B(2), Kildow BJ(2), Garvin KL(2). Author information: (1)Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA. Electronic address: christopher.deans@unmc.edu. (2)Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center, 985640 Nebraska Medical Center, Omaha, NE 68198, USA. There is concern for cementless total knee arthroplasty (TKA) in patients with decreased bone mineral density (BMD) due to the potential increase in complications, namely failed in-growth or future aseptic loosening. Some data suggest that advances in cementless prostheses mitigate these risks; however this is not yet born out in long-term registry data. It is crucial to expand our understanding of the prevalence and etiology of osteoporosis in TKA patients, survivorship of cementless implants in decreased BMD, role of bone-modifying agents, indications and technical considerations for cementless TKA in patients with decreased BMD. The purpose of this study is to review current literature and expert opinion on such topics. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.ocl.2024.02.003
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