{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T19:12:19Z","timestamp":1780427539633,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"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>Metaphyseal fixation with porous titanium sleeves in revision knee surgery provides mechanical support to the implant, promotes biological fixation, and has shown satisfactory short\u2010 and mid\u2010term results. Cement is commonly used to fix the tibial tray to the epiphyseal area. The objective of this study is to determine whether cement should be used to achieve fixation of the tibial tray with the hypothesis that metaphyseal sleeves would provide enough axial and rotational stability making cementation unnecessary.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Prospective study of 60 patients undergoing knee replacement surgery with metaphyseal sleeves in type 2B defects in femur and tibia. Patients were divided into two groups according to the use of cement on the tibial component. Analysis included the American Knee Society Score (KSS) knee and functional scales, the Western Ontario and McMaster Universities (WOMAC) index, the Short Form 12 (SF\u201012) health survey, and radiographic assessment with a maximum follow\u2010up of 5 years.\n<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No statistically significant differences were found between the two groups in any of the parameters assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Metaphyseal sleeves showed a 100% survivorship at five years of followup. There were no differences in clinical and radiographic outcomes at five years of follow\u2010up depending on whether or not cement was used for tibial platform fixation. Cementation of the tibial tray would therefore not be required to achieve satisfactory mid\u2010term results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level II: prospective cohort study. Therapeutic.\n<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06185-0","type":"journal-article","created":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T07:28:10Z","timestamp":1596094090000},"page":"3310-3315","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Tibial tray cementation is not necessary for knee revision with titanium metaphyseal sleeves: a mid\u2010term prospective study in AORI 2B defects"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8333-9584","authenticated-orcid":false,"given":"L. J.","family":"Flor\u00eda\u2010Arnal","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"G\u00f3mez\u2010Blasco","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Roche\u2010Albero","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. J.","family":"Panisello\u2010Sebastia","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Martin\u2010Martinez","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Martin\u2010Hern\u00e1ndez","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopedics University Hospital Miguel Servet, IIS Aragon Paseo Isabel la Cat\u00f3lica 1\u20103 50009 Zaragoza 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May 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 July 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Carlos Martin-Hernandez has received speaker honorarium from DePuy Synthes. Luis Javier Floria-Arnal, Andr\u00e9s G\u00f3mez-Blasco Adrian Roche-Albero, Juan Jose Panisello-Sebastia, Adrian Martin-Martinez declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in this study were in accordance with the ethical standards of the institutional ethical committee.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}