Mako Cementless TKA vs Mako Cemented TKA

Inclusion criteria

• Patient has symptomatic knee osteoarthritis requiring primary TKA
• Patient and surgeon are in agreement that TKA is the most appropriate treatment
• Patient is fit for surgical intervention following review by surgeon and anaesthetist
• Patient is over 18 years old at time of surgery
• Gender: male and female
• Patient must be capable of giving informed consent and agree to comply with the postoperative review program
• Patient must have sufficient postoperative mobility to attend follow-up clinics and allow for radiographs to be taken

Exclusion criteria

• Patient is not suitable for routine primary TKA e.g. patient has ligament deficiency that requires a constrained prosthesis
• Patient has bone loss that requires augmentation
• Patient is not medically fit for surgical intervention
• Patient requires revision surgery following previously failed correctional osteotomy or ipsilateral TKA
• Patient has a DEXA scan with T-score \< -2.5 at any point
• Patient is immobile or has another neurological condition affecting musculoskeletal function
• Patient is less than 18 years at time of surgery
• Patient is unable or unwilling to sign the informed consent form specific to this study
• Patient is unable to attend the follow-up programme
• Previous pathological fracture