Osteoporosis May Not Be An Absolute Contraindication For Cementless TKA

Description

In this detailed presentation from the ISTA 2024 conference held on Nashville, Gabriel Lama, a PGY2 resident at Maimonides Medical Center, explores the implications of cementless total knee arthroplasty for patients with osteoporosis. He highlights how this surgical approach is gaining traction, particularly among younger populations, due to its potential for better long-term outcomes and bone preservation. The study's aim is to investigate whether younger patients with osteoporosis can undergo cementless procedures without increased complications compared to traditional cemented techniques.



Lama discusses their methodology, which involved a retrospective analysis of a national database, assessing outcomes of uncemented total knee arthroplasties in patients under 75 diagnosed with osteoporosis. Significant exclusions were made for individuals on active steroids. Results demonstrate no marked difference in medical or implant-related complications, readmission rates, or implant survivability over three years between the cementless and cemented groups, challenging the established belief that cemented options are the gold standard for osteoporotic patients.



Throughout the presentation, he emphasizes the importance of individualized surgical decisions made intraoperatively by the surgeon, urging further research into factors influencing outcomes. Ultimately, the findings advocate for reconsideration of treatment protocols for patients with osteoporosis, suggesting cementless total knee arthroplasty may be a viable and effective option.

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