Evidence Search

Comparative outcomes of cemented versus cementless stems in bipolar hemiarthroplasty for femoral neck fractures.

Medicine | 2024 | Ono T, Watanabe N, Hayakawa K, Kainuma S

[Indexed for MEDLINE] Conflict of interest statement: The authors have no conflicts of interest to disclose. 8. Knee Surg Sports Traumatol Arthrosc. 2024 Mar;32(3):704-712. doi: 10.1002/ksa.12092. Epub 2024 Feb 28. Microporous titanium and hydroxyapatite improve fixation of the tibial wall in unicompartmental knee replacement. Rahman A(1), Omoregie G(2), Mellon S(1), Murray DW(...

Two-Peg Cementless Trabecular Metal Modular Tibial Components in Total Knee Arthroplasty: A Single-Center Comparative Study with Cemented Counterparts.

Medicina (Kaunas, Lithuania) | 2026 | Fokter SK, Godicelj Ž, Kastelic J, Levašič V

Conflict of interest statement: The authors declare no conflicts of interest. 15. J Orthop Surg Res. 2024 Jul 27;19(1):439. doi: 10.1186/s13018-024-04936-0. Biomechanical analysis of patient specific cone vs conventional stem in revision total knee arthroplasty. Piovan G(1), Bori E(2)(3), Padalino M(2), Pianigiani S(2)(4), Innocenti B(5). Author information: (1)Department of Or...

Cemented versus cementless Oxford unicompartmental knee arthroplasty using radiostereometric analysis: a randomised controlled trial.

The bone & joint journal | 2015 | Kendrick BJ, Kaptein BL, Valstar ER, Gill HS

[Indexed for MEDLINE] 20. Bone Joint J. 2021 Jul;103-B(7 Supple B):33-37. doi: 10.1302/0301-620X.103B7.BJJ-2020-2230.R1. Cemented femoral stem fixation through the anterior approach has fewer early complications than cementless fixation. Ennin KA(1), Elsharkawy KA(1), Dasgupta S(1), Emerson RH(1). Author information: (1)Texas Center for Joint Replacement, Plano, Texas, USA. AIM...

Cemented vs. Cementless Fixation in Primary Knee Replacement: A Narrative Review.

Materials (Basel, Switzerland) | 2024 | Wilczyński M, Bieniek M, Krakowski P, Karpiński R

Conflict of interest statement: The authors declare no conflicts of interest. 2. Orthopedics. 2013 May;36(5):380-7. doi: 10.3928/01477447-20130426-10. Comparison of cemented and uncemented fixation in total knee arthroplasty. Brown TE(1), Harper BL, Bjorgul K. Author information: (1)Division of Adult Reconstruction, Department of Orthopaedics, University of Virginia, Charlottes...

Cemented vs cementless stems for revision arthroplasties due to Vancouver B2 periprosthetic hip fracture.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie | 2024 | Lara-Taranchenko Y, Nomdedéu JF Jr, Aliaga Martínez A, Mimendia I

[Indexed for MEDLINE] 5. SICOT J. 2025;11:32. doi: 10.1051/sicotj/2025027. Epub 2025 May 27. Cementless versus cemented fixation in image-based robotic total knee arthroplasty guided by functional knee positioning principles. Koutserimpas C(1), Gregori P(2), Veizi E(3), Andriollo L(4), Servien E(5), Batailler C(6), Lustig S(6). Author information: (1)Orthopaedics Surgery and Sp...

Biomechanical analysis of patient specific cone vs conventional stem in revision total knee arthroplasty.

Journal of orthopaedic surgery and research | 2024 | Piovan G, Bori E, Padalino M, Pianigiani S

[Indexed for MEDLINE] Conflict of interest statement: SP is an employee of Adler Ortho. 16. J Arthroplasty. 2022 Mar;37(3):476-481.e1. doi: 10.1016/j.arth.2021.11.031. Epub 2021 Nov 26. Redefining Indications for Modern Cementless Total Knee Arthroplasty: Clinical Outcomes and Survivorship in Patients >75 Years Old. Goh GS(1), Fillingham YA(1), Ong CB(1), Krueger CA(1), Courtne...

[Hip fractures in the elderly : Osteosynthesis versus joint replacement].

Der Orthopade | 2014 | Knobe M, Siebert CH

[Indexed for MEDLINE] 18. Medicina (Kaunas). 2023 Aug 12;59(8):1458. doi: 10.3390/medicina59081458. No Blood Loss Increase in Cementless vs. Cemented Fixation Following Bilateral Total Knee Arthroplasty: A Propensity Score Matching Study. Sohn S(1)(2), Cho N(3), Oh H(4), Kim YD(4)(5), Jo H(2), Koh IJ(4)(5). Author information: (1)Department of Orthopaedic Surgery, Inje Universi...

Cemented total knee arthroplasty provides greater knee range of motion at 2 years than cementless technique.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie | 2023 | Edgar M, Harvey J, Jiang S, Walters J

[Indexed for MEDLINE] 7. Medicine (Baltimore). 2024 Oct 11;103(41):e39946. doi: 10.1097/MD.0000000000039946. Comparative outcomes of cemented versus cementless stems in bipolar hemiarthroplasty for femoral neck fractures. Ono T(1)(2), Watanabe N(1), Hayakawa K(1), Kainuma S(1), Yamada H(1), Waseda Y(1), Kanda Y(1), Fukuoka M(1), Tokuda H(3)(4), Murakami H(2), Kuroyanagi G(2)(5)...

[Bone defect management in revision knee arthroplasty].

Der Orthopade | 2021 | Röhner E, Heinecke M, Matziolis G

[Indexed for MEDLINE] 4. Eur J Orthop Surg Traumatol. 2024 Jul;34(5):2573-2580. doi: 10.1007/s00590-024-03961-3. Epub 2024 May 2. Cemented vs cementless stems for revision arthroplasties due to Vancouver B2 periprosthetic hip fracture. Lara-Taranchenko Y(1), Nomdedéu JF Jr(2), Aliaga Martínez A(2), Mimendia I(2), Barro VM(2), Collado D(2), Guerra-Farfán E(2), Hernández A(2). Au...

Hybrid fixation versus full-cemented or full-cementless fixation in total knee arthroplasty: Systematic review and meta-analysis of comparative studies

Journal of Orthopaedic Science | 2020 | Zhaolun Wang, Xi Chen, Yixin Zhou, Hongyi Shao

Comparison of cemented and uncemented fixation in total knee arthroplasty.

Orthopedics | 2013 | Brown TE, Harper BL, Bjorgul K

[Indexed for MEDLINE] 3. Orthopade. 2021 Dec;50(12):1004-1010. doi: 10.1007/s00132-021-04181-x. Epub 2021 Oct 15. [Bone defect management in revision knee arthroplasty]. [Article in German; Abstract available in German from the publisher] Röhner E(1)(2), Heinecke M(3), Matziolis G(3). Author information: (1)Deutsches Zentrum für Orthopädie, Waldkliniken Eisenberg, Klosterlausni...

Geriatric Total Hip Arthroplasty: Fixation Strategies, Approaches and Outcomes.

Journal of orthopaedics and sports medicine | 2026 | Saber B, Agrawal DK

Conflict of interest statement: Competing interests: Both authors have read the manuscript and declare no conflict of interest. No writing assistance was utilized in the production of this manuscript. 14. Medicina (Kaunas). 2026 Feb 2;62(2):296. doi: 10.3390/medicina62020296. Two-Peg Cementless Trabecular Metal Modular Tibial Components in Total Knee Arthroplasty: A Single-Cent...

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...

Cementless versus cemented fixation in image-based robotic total knee arthroplasty guided by functional knee positioning principles.

SICOT-J | 2025 | Koutserimpas C, Gregori P, Veizi E, Andriollo L

Conflict of interest statement: Authors 1, 2, 3, and 4 have nothing to declare. Author 5: Consultant for Smith and Nephew. Author 6: Consultant for Smith and Nephew and Stryker. Author 7: Royalties from Smith Nephew, Stryker, and Serf. Consultant for Stryker, Heraeus; Institutional research support from Amplitude and Groupe Lepine; Editorial Board for Journal of Bone and Joint...

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...

Cemented versus cementless cup fixation in total hip arthroplasty for proximal femoral fractures: analysis of revision and mortality rates from the German arthroplasty registry (EPRD)

Journal of Orthopaedic Surgery and Research | 2025 | Clemens Roitzsch, Cecilia Rogmark, Yinan Wu, Alexander Grimberg

Abstract Background The management of femoral neck fractures (FNF) in elderly patients depends on comorbidities, pre-fracture mobility, any hip joint disease, and life expectancy, with treatment typically involving either hemiarthroplasty (HA) or total hip arthroplasty (THA). While cemented femoral stem fixation is standard, there is no clear consensus regarding cemented versus...

Microporous titanium and hydroxyapatite improve fixation of the tibial wall in unicompartmental knee replacement.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA | 2024 | Rahman A, Omoregie G, Mellon S, Murray DW

[Indexed for MEDLINE] 9. Arch Orthop Trauma Surg. 2024 Aug;144(8):3715-3727. doi: 10.1007/s00402-024-05425-z. Epub 2024 Jul 5. Cementless short stem total hip arthroplasty in patients older than 75 years: is it feasible? Luger M(1)(2), Holzbauer M(3)(4), Klotz MC(4)(5), Fellner F(4)(6), Gotterbarm T(3)(4). Author information: (1)Department for Orthopedics and Traumatology, Kepl...

Cementless short stem total hip arthroplasty in patients older than 75 years: is it feasible?

Archives of orthopaedic and trauma surgery | 2024 | Luger M, Holzbauer M, Klotz MC, Fellner F

[Indexed for MEDLINE] Conflict of interest statement: We report personal fees paid to one co-author (T.G.) during the conduct of the study from Zimmer Biomet, Europe and from Depuy Synthes Orthopädie Gmbh, Peter Brehm GmbH, ImplanTec GmbH outside the submitted work. We report research grants paid to our institution during the conduct of the study from Zimmer Biomet, Europe, Mat...

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...

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

Medicina (Kaunas, Lithuania) | 2023 | Sohn S, Cho N, Oh H, Kim YD

[Indexed for MEDLINE] Conflict of interest statement: The authors declare no conflict of interest. 19. Bone Joint J. 2015 Feb;97-B(2):185-91. doi: 10.1302/0301-620X.97B2.34331. Cemented versus cementless Oxford unicompartmental knee arthroplasty using radiostereometric analysis: a randomised controlled trial. Kendrick BJ(1), Kaptein BL(2), Valstar ER(2), Gill HS(3), Jackson WF(...

Cemented Versus Cementless Total Knee Arthroplasty in Obese Patients With Body Mass Index ≥35 kg/m(2): A Contemporary Analysis of 812 Patients.

The Journal of arthroplasty | 2022 | Goh GS, Fillingham YA, Sutton RM, Small I

[Indexed for MEDLINE] 13. J Orthop Sports Med. 2026;8(1):68-73. doi: 10.26502/josm.511500255. Epub 2026 Mar 12. Geriatric Total Hip Arthroplasty: Fixation Strategies, Approaches and Outcomes. Saber B(1), Agrawal DK(1). Author information: (1)Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona CA 917...

Redefining Indications for Modern Cementless Total Knee Arthroplasty: Clinical Outcomes and Survivorship in Patients >75 Years Old.

The Journal of arthroplasty | 2022 | Goh GS, Fillingham YA, Ong CB, Krueger CA

[Indexed for MEDLINE] 17. Orthopade. 2014 Apr;43(4):314-24. doi: 10.1007/s00132-014-2265-7. [Hip fractures in the elderly : Osteosynthesis versus joint replacement]. [Article in German] Knobe M(1), Siebert CH. Author information: (1)Klinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Pauwelsstr. 30, 52074, Aachen, Deutschland, mknobe@ukaachen.de. BACKGROU...

Prospective Three-Year Outcomes Comparing Cemented and Cementless Fixation in the Trabecular Metal Total Ankle Arthroplasty

OrthoMedia | 2022

Optimal Implant Fixation in Knee Arthroplasty: Cemented Versus Cementless Knee Arthroplasty

Basics in Primary Knee Arthroplasty | 2022 | Reha N. Tandogan, Senol Bekmez, Metin Polat

Cause-Specific Stem Revision Risk in Primary Total Hip Arthroplasty Using Cemented vs Cementless Femoral Stem Fixation in a US Cohort

The Journal of Arthroplasty | 2022 | Matthew P. Kelly, Priscilla H. Chan, Heather A. Prentice, Elizabeth W. Paxton

Cemented femoral stem fixation through the anterior approach has fewer early complications than cementless fixation.

The bone & joint journal | 2021 | Ennin KA, Elsharkawy KA, Dasgupta S, Emerson RH

[Indexed for MEDLINE]

Postoperative Infection in Cementless and Cemented Total Knee Arthroplasty: A Propensity Score Matched Analysis.

The journal of knee surgery | 2019 | Anis HK, Ramanathan D, Sodhi N, Klika AK

[Indexed for MEDLINE] Conflict of interest statement: C.A.H. reports consultant work from KCI, Pfizer, PSI, TenNor Therapeutics Limited, Zimmer, outside the submitted work; and 3M, American Association of Hip and Knee Surgeons, American Journal of Orthopedics, CD Diagnostics, Cempra, Cymedica, Ferring Pharmaceuticals, Journal of Hip Surgery, Journal of Knee Surgery, Mid-America...

Results of Cemented vs Cementless Primary Total Knee Arthroplasty Using the Same Implant Design.

The Journal of arthroplasty | 2018 | Miller AJ, Stimac JD, Smith LS, Feher AW

[Indexed for MEDLINE] 12. J Arthroplasty. 2022 Apr;37(4):688-693.e1. doi: 10.1016/j.arth.2021.12.038. Epub 2022 Jan 3. Cemented Versus Cementless Total Knee Arthroplasty in Obese Patients With Body Mass Index ≥35 kg/m(2): A Contemporary Analysis of 812 Patients. Goh GS(1), Fillingham YA(1), Sutton RM(1), Small I(1), Courtney PM(1), Hozack WJ(1). Author information: (1)Rothman O...

Cementless vs Cemented Tibial Fixation in Primary Total Knee Arthroplasty

The Journal of Arthroplasty | 2017 | Omar A. Behery, Sean M. Kearns, Justin M. Rabinowitz, Brett R. Levine

Primary Total Knee Arthroplasty: Cemented Fixation

Orthopaedic Knowledge Online Journal | 2017

Letter to the Editor on “Cemented vs Cementless Total Knee Arthroplasty in Morbidly Obese Patients”

The Journal of Arthroplasty | 2017 | Sandeep Patel, Tungish Bansal

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...

A Prospective Outcomes Analysis of Femoral Component Fixation in Revision Total Hip Arthroplasty Comparing Modular, Cementless Fixation with Cemented Femoral Fixation

The Journal of Arthroplasty | 2006 | Richard Iorio, William L. Healy, Anthony Presutti

Cementless Versus Cemented Total Hip Arthroplasty

Orthopedic Clinics of North America | 1993 | B. Mike Wroblewski