Cementless unicondylar knee arthroplasty.
Liddle AD., Pandit H., Murray DW., Dodd CA.
Cementless fixation is an increasingly popular option in unicondylar knee arthroplasty (UKA). Early cementless UKAs suffered from unreliable fixation and uptake of cementless UKA was limited. However, modern designs of cementless UKA have demonstrated excellent results with improved radiographic appearances when compared with cemented implants. This is supported by early joint registry data, which demonstrate a survival advantage with cementless fixation in one design of UKA. This review explains the rationale for cementless UKA, summarizes the results from published trials, and highlights technical aspects points to be aware of when implanting cementless UKA.