Abstract
The aim of this study is to present the early results of our department’s experience, about cementless fixation of femoral component in total knee replacement.
During the period 1997–2002 from the patients who treated surgically for knee osteoarthratis, 285 were followed up p.o. from 6 months up to 5 years (mean 30 months). They were 246 women and 39 men (mean age 69,4 years), to whom we used unconstrained total knee arthroplasty. For all of them, we didn’t use orthopaedic cement to fix the femoral component and there were no case of patella replacement. All the patients were examined clinically and with x-rays (Knee Society Roentgenographic Evaluation and Scoring System).
The answer to the question about the use or not of orthopaedic cement for femoral component fixation is not clear in the international literature. There is the attitude of using cement every time or depending the use of cement on patient’s age and bone quality. On the other hand, many orthopaedic surgeons, like us, never use cement (except for the very osteoporotic bone). There were no cases of femoral component’s loosening in our data.
In conclusion, we believe that the cementless fixation of femoral component in total knee replacement offers satisfactory stabilization of the component, the same as the cemented fixation offers, according to the international literature.
The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.
