- Cementless TKA shows higher implant survival in obese patients.
- 8-year survival: 99.3% (cementless) vs 89.7% (cemented).
- Cementless fixation leads to lower aseptic loosening.
- Infection rates varied, no consistent type association.
- Modern coatings improve osteointegration.
- Studies are retrospective with varied patient characteristics.
- Need for high-quality prospective trials is emphasized.
Source: Journal of Orthopaedics
