Total knee replacement: Should it be cemented or hybrid?

OBJEcTIvE: To compare the complication rates associated with total knee arthroplasty against the types of fixation (hybrid or cemented), using a single total knee design (the anatomic modular knee [AMK] prosthesis).

DESIGN: A prospective, nonrandom:ized, controlled trial..

SETTING: University Hospital in London, Ont., a tertiary care teaching centre.

PATIENTS: Two groups made up of 484 knees in 395 patients (89 bilateral).

INTERVENTIONS: In 260 knees a hybrid configuration (cemented tibia and noncemented femur) was used (group 1). In 224 knees the femoral and tibial components were cemented (group 2). All patellae were cemented in both groups. …