A Randomized Controlled Trial to Compare a Mobile-Bearing Cementless and Cemented Unicompartmental Knee: Results of an Investigational Device Exemption Study in the United States.
William G Hamilton, Roberta E Redfern, Mark A Klaassen et al.
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In 30 seconds
This randomized controlled trial compared mobile-bearing cementless and cemented unicompartmental knee arthroplasties in 378 patients. The study found no significant difference in 2-year survivorship rates, with 94.0% for cementless and 97.5% for cemented implants (P = 0.19), indicating noninferiority of the cementless option.
Key findings
- 2-year survivorship was 94.0% for cementless vs 97.5% for cemented implants (P = 0.19).
- 5-year survivorship rates were 91.7% for cementless vs 95.6% for cemented (P = 0.24).
- Radiographic success was 93.8% for cementless vs 97.4% for cemented (P = 0.19).
- Knee Society function scores were similar: 89.9 for cementless vs 89.8 for cemented (P = 0.95).
Why it matters
The findings suggest that cementless unicompartmental knee arthroplasty can achieve comparable clinical and radiographic outcomes to cemented options, potentially offering a viable alternative for patient selection in knee arthroplasty.