Skip to main content
. 2018 Sep 1;30(3):187–192. doi: 10.5792/ksrr.18.019

Table 2.

Advantages and Disadvantages of Total Cementation versus Hybrid Cementation Techniques in Revision Total Knee Arthroplasty

Variable Total cementation with fully cemented stem Hybrid cementation with press fit stem
Advantage Easy to implant Potential for bone stock preservation
Better initial stability Less stress shielding
Potential benefit of intramedullary elution of antibiotics Optimizing mechanical alignment by diaphyseal referencing
More variability in component positioning and sizing Easy to remove
Useful especially in diaphyseal bowing Applicable in patients with previous DFO or HTO
Disadvantage Difficult to remove Potential for end-of-stem pain
Decreased references for proper alignment Potential forcing of component into suboptimal position without offset stem
Risk of periprosthetic fractures with canal preparation

DFO: distal femoral osteotomy, HTO: high tibial osteotomy.