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Journal of Long-Term Effects of Medical Implants

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ISSN Druckformat: 1050-6934

ISSN Online: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

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10-Year Evaluation of the Cementless Low-Contact- Stress Rotating-Platform Total Knee Arthroplasty

Volumen 19, Ausgabe 4, 2009, pp. 255-263
DOI: 10.1615/JLongTermEffMedImplants.v19.i4.20
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ABSTRAKT

We present the clinical and radiographic outcomes of the cementless low-contact-stress (LCS) rotating-platform total knee arthroplasty. Overall, 423 prostheses were implanted in 393 consecutive patients (30 patients had bilateral total knee replacement) for primary varus gonarthrosis (381 patients) and rheumatoid arthritis (12 patients). There were 81 men and 312 women with a mean age of 73 years (range, 58−85 years). Patella replacement was not performed in any case. Clinical and radiographic evaluation was performed using the Knee Society Score (KSS) and the Knee Society Assessment Form, respectively. The mean follow-up was 10 years (range, 5−15 years). Three patients were lost to follow-up. Survival of the prostheses was 98% at 10 years; three prostheses required revision for deep infection, bearing dislocation, and periprosthetic fracture. The mean KSS improved significantly, from 42 and 44 points preoperatively to 90 and 79 points, respectively, at the latest evaluation (P < 0.001); results were excellent in 278 cases, good in 106, fair in 27, and poor in nine. Radiolucent lines were observed in 80 cases; revision arthroplasty was not performed in any of these cases. Complications included deep infection in one patient, bearing dislocation in one, skin necrosis in four, and a supracondylar fracture in one. The cementless LCS rotating-platform total knee arthroplasty is associated with excellent mid- and long-term results for patients with osteoarthritis and rheumatoid arthritis of the knee.

REFERENZIERT VON
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  2. Ishii Yoshinori, Noguchi Hideo, Sato Junko, Sakurai Tetsuya, Toyabe Shin-ichi, Comparison of long-term clinical outcomes after bilateral mobile-bearing total knee arthroplasties using PCL-retaining and PCL-substituting implants in the same patients, Knee Surgery, Sports Traumatology, Arthroscopy, 25, 12, 2017. Crossref

  3. van der List Jelle P., Sheng Dana L., Kleeblad Laura J., Chawla Harshvardhan, Pearle Andrew D., Outcomes of cementless unicompartmental and total knee arthroplasty: A systematic review, The Knee, 24, 3, 2017. Crossref

  4. Chawla Harshvardhan, van der List Jelle P., Christ Alexander B., Sobrero Maximiliano R., Zuiderbaan Hendrik A., Pearle Andrew D., Annual revision rates of partial versus total knee arthroplasty: A comparative meta-analysis, The Knee, 24, 2, 2017. Crossref

  5. Ishii Yoshinori, Noguchi Hideo, Sato Junko, Ishii Hana, Todoroki Koji, Toyabe Shin-ichi, Tibial component coverage and rotational alignment accuracy after mobile-bearing total knee arthroplasty, European Journal of Orthopaedic Surgery & Traumatology, 28, 6, 2018. Crossref

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  7. Bingham Joshua S., Salib Christopher G., Hanssen Arlen D., Taunton Michael J., Pagnano Mark W., Abdel Matthew P., Clinical Outcomes and Survivorship of Contemporary Cementless Primary Total Knee Arthroplasties, JBJS Reviews, 8, 8, 2020. Crossref

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