OE JOURNAL
OE Journal
Vol. 14 | Iss. 1 | January 2026 - 27 Studies
Questions This Issue Explores
Is patella resurfacing associated with postoperative extensor mechanism disruption after total knee arthroplasty?
Do cemented and cementless total knee arthroplasty differ in outcomes at ten years?
Do ACL reconstructions using allograft versus autograft differ in outcomes?
Do infrapatellar and suprapatellar nailing differ for tibial fracture treatment?
Do proximal plating and intramedullary nailing differ for treating extra-articular proximal tibial fractures?
EDITOR'S PICK 
Cemented vs. Cementless Total Knee Arthroplasty: A Ten Year Follow Up
The ten year results of a prospective randomized controlled trial are reviewed. This study enrolled 100 patients undergoing primary total knee arthroplasty (TKA) between May 2010 and February 2012 and randomized them to cemented fixation or cementless fixation using a modular trabecular metal tibial tray. At ten years, 91 patients had known outcomes, including 67 patients who achieved a minimum ten-year clinical follow-up and were included in the per-protocol analysis (36 cemented, 31 cementless). The relevant outcomes included Knee Society Scores (KSS) (clinical and functional) and Oxford Knee Scores (OKS). Other outcomes included implant survivorship, radiographic findings, and revision indications. Outcomes were assessed preoperatively and at 2, 5, and ≥10 years postoperatively. Overall, the results demonstrated no statistically significant differences between cemented and cementless cohorts in Knee Society Scores, Oxford Knee Scores, or implant survivorship at ten years. Cemented fixation was associated with a higher incidence of progressive osteolysis and loosening, whereas cementless fixation demonstrated stable osseointegration with little radiolucency occurrences.
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