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Evidence Search

Search reputable indexed orthopaedic literature from multiple scholarly sources, classify the evidence, and link papers directly to wiki topics and cases.

Sources: PubMed, Europe PMC, Crossref

Linking results to Wiki: Cementless vs Cemented Fixation in Arthroplasty
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Results are classified automatically from source metadata across PubMed, Europe PMC, and Crossref.
Crossref
Crossref Review Article Evidence Moderate

Cemented vs. cementless fixation in primary total knee arthroplasty: a systematic review and meta-analysis

EFORT Open Reviews | 2020 | Anoop K. Prasad, Jaimee H.S. Tan, Hany S. Bedair, Sebastian Dawson-Bowling

Abstract Over 100,000 total knee replacements (TKRs) are carried out in the UK annually, with cemented fixation accounting for approximately 95% of all primary TKRs. In Australia, 68.1% of all primary TKRs use cemented fixation, and only 10.9% use cementless fixation. However, there has been a renewed interest in cementless fixation as a result of improvements in implant design...

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Crossref Journal Article Evidence Unclassified

Beyond the cemented–cementless divide: Personalised fixation strategies in revision total hip arthroplasty

East African Orthopaedic Journal | 2026 | D.B. Geldenhuys, M. Asmal, P. Ramiah, N. Elebo

Background: As primary Total Hip Arthroplasty (THA) is increasingly performed in younger, more active patients, revision procedures have become more frequent and technically demanding. The choice between cementless and cemented femoral fixation in revision THA remains controversial, with each approach offering distinct biological and mechanical advantages. Objective: To synthes...

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Crossref Journal Article Evidence Unclassified

Biomechanical comparison of cemented versus cementless fixation in intraoperative femoral fractures during total hip arthroplasty

Archives of Orthopaedic and Trauma Surgery | 2025 | Ryunosuke Watanabe, Tomofumi Nishino, Tomohiro Yoshizawa, Fumi Hirose

Abstract Introduction Intraoperative periprosthetic femoral fractures (IPFF) are serious complications of total hip arthroplasty (THA) that occur more frequently with cementless stems than with cemented stems. Although cerclage wiring is commonly used to stabilize IPFFs, the biomechanical effects of subsequent stem fixation methods remain unclear. This study aimed to compare th...

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Crossref Journal Article Evidence Unclassified

Randomized Controlled Trial of a Novel Cementless vs. Cemented Total Knee Arthroplasty: Early Clinical and Radiographic Outcomes

Orthopaedic Surgery | 2024 | Enze Zhao, Xiaoyan Zhu, Haiwei Tang, Zhenyu Luo

ObjectivePrevious cementless total knee arthroplasty (TKA) designs faced challenges with insufficient initial fixation on tibial side, resulting in inferior functional outcomes and survival rates. The Zoned Trabecular Bone Cementless Knee is a novel implant designed for cementless TKA which aims to achieve excellent initial fixation, promoting effective osseointegration. The ai...

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Crossref Journal Article Evidence Unclassified

No Blood Loss Increase in Cementless vs. Cemented Fixation Following Bilateral Total Knee Arthroplasty: A Propensity Score Matching Study

Medicina | 2023 | Sueen Sohn, Nicole Cho, Hyunjoo Oh, Yong Deok Kim

Background and Objectives: Recent advancements in three-dimensional printing technology have enhanced the biologic fixation of cementless total knee arthroplasty (TKA), therefore increasing the utilization of newer-generation cementless implants. However, the lack of sealing and tamponade effect of cement on the resected bone surface after cementless TKA raises concerns regardi...

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Crossref Journal Article Evidence Unclassified

Cemented versus cementless fixation in total knee arthroplasty

Joints | 2013 | Fabrizio Matassi, Christian Carulli, Roberto Civinini, Massimo Innocenti

The question of whether to use cemented or cementless fixation for a total knee arthroplasty (TKA) is still debated. Discouraging preliminary results of cementless TKAs have determined the worldwide use of cemented implants. However, with the development of biotechnologies and new biomaterials with high osteoconductive properties, biological fixation is now becoming an attracti...

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