Orthopedics Today | Although total knee arthroplasty has been commonly performed with cemented fixation, research has shown an increase in cementless fixation during the years.The American Joint Replacement Registry showed cementless fixation was used in more than 14% of primary TKAs in 2020, while the Swedish Knee Arthroplasty Registry and National Joint Registry reported an increase in the use of cementless
Orthopedics Today | The controversy over fixation in the obese patient population undergoing TKA remains unsolved.Historically, many studies have shown obese patients, particularly morbidly obese patients (BMI of greater than 40 kg/m2) are at higher risk for aseptic loosening due to higher stress on the implant-cement-bone interface. This has led many surgeons to augment cemented fixation by using stems to off-load