A 9-Year Outcome Study Comparing Cancellous Titanium-Coated Cementless to Cemented Tibial Components of the Advance Medial-Pivot Knee Arthroplasty.

Background: The cemented Advance Medial-Pivot total knee arthroplasty (TKA) was designed to reflect contemporary knee kinematics data and has shown satisfactory long-term outcomes. Methods: We retrospectively evaluated prospectively collected data from 2 groups of patients. Group A consisted of 54 patients (54 TKAs), 18 men and 36 women, and mean age at surgery was 63.2 +/- 5.2 years; group B consisted of 54 patients (54 TKAs), 17 men and 37 women, and mean age at surgery was 63.8 +/- 5.1 years. Patients of both groups were matched for age, gender, side, body mass index, and length of follow-up. The cementless components of this design were implanted in group A and the cemented in group B. Implant failure, complication rates, clinical (both subjective and objective) and radiological outcomes were assessed in all patients of both groups. Results: All patients of both groups were available for final follow-up evaluation at a mean of 8.6 +/- 0.4 years. Survival analysis at 9 years showed a cumulative success rate of 100% in both groups with all end points. In neither group were implant-related, surgeon-related, or patient-related failures observed. When both groups were compared, in all time intervals, no differences were recorded on Knee Society system, Western Ontario and McMaster University Osteoarthritis Index, Short Form-12, and Oxford Knee Scores. On radiological examination, for both groups, all parameters evaluated were satisfactory. Conclusion: This study presents satisfactory midterm clinical and radiological outcomes with the use of both versions of this design. Moreover, no implant-related failures were observed with the use of cancellous titanium-coated tibial implants. (C) 2018 The Authors. Published by Elsevier Inc.