Cement fixation for total knee arthroplasty

Fixation with cement in total knee arthroplasty (TKA) remains the gold standard. Many series in the literature show between 90 and 98% survivorship of modern cemented, condylar total knee arthroplasties at 15-plus years. While uncemented fixation has become the predominant method in contemporary total hip arthroplasty, uncemented TKA has not yet gained wide acceptance. While durable biologic fixation remains a laudable goal for TKA that aim has not yet been consistently demonstrated. It is illustrative that in reviewing the available comparable long-term studies in no case has it been shown that an uncemented total knee component has better survival than a cemented component of the same make and model.