{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:49:50Z","timestamp":1763466590506,"version":"3.45.0"},"reference-count":33,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,1,12]],"date-time":"2017-01-12T00:00:00Z","timestamp":1484179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\n\nThe aim of this study was to evaluate the long term clinical and radiological results of cementless total knee replacement. A total of 51 knees of 49 patients (33 female and 16 male; mean age: 61.6 years (range, 29\u201366 years)) who underwent TKR surgery with a posterior stabilized hydroxyapatite coated knee implant were included in this study. All of the tibial components were fixed with screws. The HSS scores were examined preoperatively and at the final follow-up. Radiological assessment was performed with Knee Society evaluating and scoring system. Kaplan\u2013Meier survival analysis was performed to rule out the survival of the tibial component. The mean HSS scores were 45.8 (range 38\u201360) and 88.1 (range 61\u201393), preoperatively and at the final follow-up respectively. Complete radiological assessment was performed for 48 knees. Lucent lines at the tibial component were observed in 4 patients; one of these patients underwent a revision surgery due to the loosening of the tibial component. The 10-year survival rate of a tibial component was 98%. Cementless total knee replacement has satisfactory long term clinical results. Primary fixation of the tibial component with screws provides adequate stability even in elderly patients with good bone quality. Level IV, Therapeutic study.\nER -\n\n \n\nKeywords\n\n \n\n\n\tCementless total knee arthroplasty\n\tScrew fixation\n\tOsteolysis\n\tHydroxyapatite<\/jats:p>","DOI":"10.1016\/j.aott.2017.10.008","type":"journal-article","created":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T16:12:26Z","timestamp":1509552746000},"page":"433-436","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Total knee replacement\u2014cementless tibial fixation with screws: 10-year results"],"prefix":"10.5152","volume":"51","author":[{"given":"\u00d6nder","family":"ERSAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alper","family":"\u00d6ZT\u00dcRK","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Faruk \u00c7ATMA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serhan","family":"\u00dcNL\u00dc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mutlu","family":"AKDO\u011eAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yal\u0131m","family":"ATE\u015e","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"2","key":"10.1016\/j.aott.2017.10.008_bib1","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.arth.2005.04.029","article-title":"Tibial fixation without screws in cementless total knee arthroplasty","volume":"21","author":"Cooke","year":"2006","journal-title":"J\u00a0Arthroplast"},{"key":"10.1016\/j.aott.2017.10.008_bib2","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1097\/00003086-200111000-00024","article-title":"Long-term followup of the Miller Galante total knee replacement","volume":"388","author":"Berger","year":"2001","journal-title":"Clin Orthop"},{"key":"10.1016\/j.aott.2017.10.008_bib3","first-page":"79","article-title":"Survivorship of cemeted total knee arthroplasty","volume":"345","author":"Front-Rodriguez","year":"1997","journal-title":"Clin Orthop"},{"key":"10.1016\/j.aott.2017.10.008_bib4","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/00003086-199301000-00015","article-title":"Long-term results of the total condylar knee arthroplasty. 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