Tibial implant component loosening is the most common cause of aseptic total knee arthroplasty (TKA) failure. Stability of a primary TKA relies on adequate fixation and therefore the cementation technique used may provide an enhanced clinical result. Surface cementation and full cementation techniques are employed to achieve fixation in TKA. Full cementation entails the application of bone cement on the tibial cut surface and along the keel; while surface cementation is the application of cement solely on the proximal tibial cut surface.

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