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The mean Knee Society score increased significantly from 72.1 preoperatively to 90.0 postoperatively (p 0.001). The cumulative incidence of re-operation in our study was 13.3% (n= 4). Our study reported no cases of aseptic loosening or mobile-bearing spin-out. Knee flexion to 90° and more was impossible in seven cases (23.3%) preoperatively and in one case (3.3%) postoperatively. Porous-coated metaphyseal sleeves demonstrated excellent rates of survivorship and radiographic ingrowth in the mid-term setting. However, further studies