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We randomised 62 knees to receive either cemented or cementless versions of the Oxford unicompartmental knee replacement. The implants used in both arms of the study were similar, except that the cementless components were coated with porous titanium and hydroxyapatite. The tibial interfaces were studied with fluoroscopically-aligned radiographs. At one year there was no difference in clinical outcome between the two groups. Narrow radiolucent lines were seen at the bone-implant interfaces in 75% of cemented tibial components. These were partial in 43%, and complete in 32%. In the cementless implants, partial radiolucencies were seen in 7% and complete radiolucencies in none. These differences are statistically significant (p < 0.0001) and imply satisfactory bone ingrowth into the cementless implants.

Original publication




Journal article


The Journal of bone and joint surgery. British volume

Publication Date





185 - 189


Oxford Orthopaedic Engineering Centre, Nuffield Department of Orthopaedic Surgery, Botnar Research Centre, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK.


Tibia, Humans, Osteoarthritis, Knee, Titanium, Bone Cements, Coated Materials, Biocompatible, Fluoroscopy, Treatment Outcome, Arthroplasty, Replacement, Knee, Cementation, Prosthesis Design, Knee Prosthesis, Aged, Aged, 80 and over, Middle Aged, Female, Male