{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T17:34:21Z","timestamp":1782236061473,"version":"3.54.5"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T00:00:00Z","timestamp":1598745600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T00:00:00Z","timestamp":1598745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T00:00:00Z","timestamp":1598745600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Long\u2010term failure of total knee arthroplasty (TKA) is mostly due to loosening of the prosthesis. In this study, the short\u2010 and mid\u2010term revision rates of cemented vs cementless TKAs were investigated. Comparable short\u2010 and mid\u2010term survival rates of both fixation methods were expected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data on all cemented and cementless TKAs performed between 2007 and 2017 were retrieved from the Dutch Arthroplasty Register. The cumulative crude incidence of revision of cemented and cementless TKA was calculated. Death was considered a competing risk. Revision rates were compared using multivariable Cox proportional hazard regression analysis. The associations between fixation method and type of revision or reason for revision were tested using logistic regression analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 190,651 (94.8%) cemented and 10,560 (5.3%) cementless TKAs were evaluated. Both groups had comparable case characteristics. Cemented TKAs were inserted more often in cases with previous knee surgery compared to cementless TKAs (32% vs 27%). The cumulative incidence of revision after 9 years was 5.5% (CI 5.3\u20135.6%) for cemented and 5.8% (CI 5.2\u20136.4%) for cementless TKAs (<jats:italic>p<\/jats:italic>\u2009=\u20090.2). Cementless TKAs were more often revised due to loosening of the tibial (27% vs 18%; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) or the femoral component (7% vs 5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.005) than cemented TKAs. Cemented TKAs were more often revised due to infection (17% vs 9%; <jats:italic>p<\/jats:italic>\u2009=\u20090.004) than cementless TKAs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In conclusion, cemented and cementless TKAs have comparable short\u2010 and mid\u2010term revision rates based on a nationwide register study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06183-2","type":"journal-article","created":{"date-parts":[[2020,8,30]],"date-time":"2020-08-30T06:02:11Z","timestamp":1598767331000},"page":"3400-3408","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Comparable mid\u2010term revision rates of primary cemented and cementless total knee arthroplasties in 201,211 cases in the Dutch Arthroplasty Register (2007\u20132017)"],"prefix":"10.1002","volume":"29","author":[{"given":"Casper R.","family":"Quispel","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery HagaZiekenhuis Sportlaan 600 2566 The Hague The Netherlands"},{"name":"<!--<label>3<\/label>--> Department of Orthopedic Surgery Langeland Ziekenhuis Zoetermeer The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tijs","family":"Duivenvoorden","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopedic Surgery Reinier de Graaf Gasthuis Delft The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan R.","family":"Beekhuizen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery HagaZiekenhuis Sportlaan 600 2566 The Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hennie","family":"Verburg","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Orthopedic Surgery Reinier de Graaf Gasthuis Delft The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anneke","family":"Spekenbrink\u2010Spooren","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Dutch Arthroplasty Register (LROI) \u2018s\u2010Hertogenbosch The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza N.","family":"Van Steenbergen","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Dutch Arthroplasty Register (LROI) \u2018s\u2010Hertogenbosch The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jantsje H.","family":"Pasma","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedic Surgery HagaZiekenhuis Sportlaan 600 2566 The Hague The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruud","family":"De Ridder","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopedic Surgery Langeland Ziekenhuis Zoetermeer The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,30]]},"reference":[{"key":"e_1_2_9_2_2","unstructured":"AnisHK RamanathanD SodhiN KlikaAK PiuzziNS MontMAet al. 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