To investigate the 5-year clinical and radiologic outcomes of the cementless Vanguard Deep Dish Rotating Platform Knee in patients with severe osteoarthritis, specifically focusing on its performance and safety.
Key Findings:
No cases of aseptic loosening were reported at the 5-year follow-up.
Clinical outcomes were satisfactory with low revision rates, indicating effective performance.
Radiographic assessments showed stable implant positioning, supporting the safety of the procedure.
Interpretation:
The cementless Vanguard Deep Dish Rotating Platform Knee appears to be a safe and effective option for TKA in patients with severe osteoarthritis, with promising mid-term outcomes that align with current discussions on cementless fixation.
Limitations:
Single-centre study may limit generalizability and introduce potential biases.
Lack of a control group comparing cemented vs. cementless fixation.
Conclusion:
The study supports the use of cementless TKA with the Vanguard Deep Dish Rotating Platform Knee, showing no component loosening and favorable clinical outcomes over 5 years.