Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2008

01.02.2008 | Knee

Clinical results of posterior cruciate ligament retaining TKA with alumina ceramic condylar prosthesis: comparison to Co–Cr alloy prosthesis

verfasst von: Tokifumi Majima, Kazunori Yasuda, Hidenobu Tago, Yoshimitu Aoki, Akio Minami

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 2/2008

Einloggen, um Zugang zu erhalten

Abstract

In a prospective study, 194 knees undergoing total knee arthroplasty (110 knees with alumina ceramic prostheses; 84 knees with Co–Cr alloy prostheses) were clinically and radiologically evaluated. Average follow-up period was 66 months (36–124 months). Average age at the time of surgery was 66 years. In the ceramic prostheses, two revision surgeries were performed because of breakage of the tibial tray and late infection, whereas two revisions of the Co–Cr alloy prostheses were carried out due to loosening and late infection. In the other patients, there were no significant differences in clinical parameters (HSS knee score and range of motion) between the two prostheses. In radiological evaluation, we could not find any radiolucent lines around the femoral ceramic component while radiolucency was present in three knees (3.6%) around the Co–Cr femoral component. Beneath the tibial tray, three knees (2.7%) showed a radiolucent line around the former prosthesis while eight knees (9.5%) demonstrated a radiolucent line around the latter prosthesis. Chi-square tests showed a significant difference in the occurrence of radiolucent line around both of the femoral and tibial prosthesis. This study demonstrated that clinical results of the alumina ceramic PCL retaining total knee prosthesis are comparable to the standard Co–Cr alloy PCL retaining total knee prosthesis. Although we could not draw any conclusions regarding the superiority of the ceramic prosthesis with respect to UHMWPE wear and long-term survivorship, this report encouraged a long-term follow-up study on ceramic prostheses.
Literatur
1.
Zurück zum Zitat Akagi M, Nakamura T, Matsusue Y, Ueo T, Nishijyo K, Ohnishi E (2000) The bisurface total knee replacement: a unique design for flexion. Four-to-nine-year follow-up study. J Bone Joint Surg 82-A:1626–1633PubMed Akagi M, Nakamura T, Matsusue Y, Ueo T, Nishijyo K, Ohnishi E (2000) The bisurface total knee replacement: a unique design for flexion. Four-to-nine-year follow-up study. J Bone Joint Surg 82-A:1626–1633PubMed
2.
Zurück zum Zitat Back DL, Cannon SR, Hilton A, Bankes MJ, Briggs TW (2001) The Kinemax total knee arthroplasty. Nine years’ experience. J Bone Joint Surg Br 83:359–363PubMedCrossRef Back DL, Cannon SR, Hilton A, Bankes MJ, Briggs TW (2001) The Kinemax total knee arthroplasty. Nine years’ experience. J Bone Joint Surg Br 83:359–363PubMedCrossRef
3.
Zurück zum Zitat Christel PS (1992) Biocompatibility of surgical-grade dense poly-crystalline alumina. Clin Orthop 282:10–18PubMed Christel PS (1992) Biocompatibility of surgical-grade dense poly-crystalline alumina. Clin Orthop 282:10–18PubMed
4.
Zurück zum Zitat Dorlot JM (1992) Long-term effects of alumina components in total hip prosthesis. Clin Orthop 282:47–52PubMed Dorlot JM (1992) Long-term effects of alumina components in total hip prosthesis. Clin Orthop 282:47–52PubMed
5.
Zurück zum Zitat Ewald FC (1989) The knee society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop 248:9–12PubMed Ewald FC (1989) The knee society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop 248:9–12PubMed
6.
Zurück zum Zitat Min BW, Song KS, Kang CH, Bae KC, Won YY, Lee KY (2007) Delayed fracture of a ceramic insert with modern ceramic total hip replacement. J Arthroplasty 22:136–139PubMedCrossRef Min BW, Song KS, Kang CH, Bae KC, Won YY, Lee KY (2007) Delayed fracture of a ceramic insert with modern ceramic total hip replacement. J Arthroplasty 22:136–139PubMedCrossRef
7.
Zurück zum Zitat Mittelmeier H, Heisel J (1992) Sixteen-years’ experience with ceramic hip prosthesis. Clin Orthop 282:64–72PubMed Mittelmeier H, Heisel J (1992) Sixteen-years’ experience with ceramic hip prosthesis. Clin Orthop 282:64–72PubMed
8.
Zurück zum Zitat Mont MA, Booth RE Jr, Laskin RS, Stiehl JB, Ritter MA, Stuchin SA, Rajadhyaksha AD (2003) The spectrum of prosthesis design for primary total knee arthroplasty. Instr Course Lect 52:397–407PubMed Mont MA, Booth RE Jr, Laskin RS, Stiehl JB, Ritter MA, Stuchin SA, Rajadhyaksha AD (2003) The spectrum of prosthesis design for primary total knee arthroplasty. Instr Course Lect 52:397–407PubMed
9.
Zurück zum Zitat Nizard RS, Sedel L, Christel P, Meunier A, Soudry M, Witvoet J (1992) Ten-year survivorship of cemented ceramic-ceramic total hip prosthesis. Clin Orthop 282:53–63PubMed Nizard RS, Sedel L, Christel P, Meunier A, Soudry M, Witvoet J (1992) Ten-year survivorship of cemented ceramic-ceramic total hip prosthesis. Clin Orthop 282:53–63PubMed
10.
Zurück zum Zitat Oonishi H, Aono M, Murata N, Kushitani S (1992) Alumina versus polyethylene in total knee arthroplasty. Clin Orthop 282:95–104PubMed Oonishi H, Aono M, Murata N, Kushitani S (1992) Alumina versus polyethylene in total knee arthroplasty. Clin Orthop 282:95–104PubMed
11.
Zurück zum Zitat Ranawat CS, Luessenhop CP, Rodriguez JA (1997) The press-fit condylar modular total knee system. Four-to-six-year results with a posterior-cruciate-substituting design. J Bone Joint Surg Am 79:342–348PubMed Ranawat CS, Luessenhop CP, Rodriguez JA (1997) The press-fit condylar modular total knee system. Four-to-six-year results with a posterior-cruciate-substituting design. J Bone Joint Surg Am 79:342–348PubMed
12.
Zurück zum Zitat Robertsson O, Knutson K, Lewold S, Lidgren L (2001) The Swedish knee arthroplasty register 1975–1997: an update with special emphasis on 41,223 knees operated on in 1988–1997. Acta Orthop Scand 72:503–513PubMedCrossRef Robertsson O, Knutson K, Lewold S, Lidgren L (2001) The Swedish knee arthroplasty register 1975–1997: an update with special emphasis on 41,223 knees operated on in 1988–1997. Acta Orthop Scand 72:503–513PubMedCrossRef
13.
Zurück zum Zitat Semlitsch M, Lehmann M, Weber H, Doerre E, Willert HG (1977) New prospects for a prolonged functional life-span of artificial hip joint by using the material combination polyethylene/aluminum oxide ceramic/metal. J Biomed Mater Res 11:537PubMedCrossRef Semlitsch M, Lehmann M, Weber H, Doerre E, Willert HG (1977) New prospects for a prolonged functional life-span of artificial hip joint by using the material combination polyethylene/aluminum oxide ceramic/metal. J Biomed Mater Res 11:537PubMedCrossRef
14.
Zurück zum Zitat Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ (2006) Long-term survivorship and failure modes of 1,000 cemented condylar total knee arthroplasties. Clin Orthop 452:28–34PubMedCrossRef Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ (2006) Long-term survivorship and failure modes of 1,000 cemented condylar total knee arthroplasties. Clin Orthop 452:28–34PubMedCrossRef
15.
Zurück zum Zitat Winter M, Griss P, Scheller G, Moser T (1992) Ten- to 14 year results of a ceramic prosthesis. Clin Orthop 282:73–80PubMed Winter M, Griss P, Scheller G, Moser T (1992) Ten- to 14 year results of a ceramic prosthesis. Clin Orthop 282:73–80PubMed
16.
Zurück zum Zitat Wright J, Ewald FC, Walker PS, Thomas WH, Poss R, Sledge CB (1990) Total knee arthroplasty with the kinematic prosthesis. Results after five to nine years: a follow-up note. J Bone Joint Surg Am 72:1003–1009PubMed Wright J, Ewald FC, Walker PS, Thomas WH, Poss R, Sledge CB (1990) Total knee arthroplasty with the kinematic prosthesis. Results after five to nine years: a follow-up note. J Bone Joint Surg Am 72:1003–1009PubMed
17.
Zurück zum Zitat Yasuda K, Miyagi N, Tomiyama Y, Yunoki H (1989) Mechanical properties of alumina ceramic total knee prosthesis in destruction and wear test. In Oonishi H, Aoki H, Sawai K (eds.) Recent advance in bioceramics. Ishiyaku EuroAmerica, Inc. pp231–236 Yasuda K, Miyagi N, Tomiyama Y, Yunoki H (1989) Mechanical properties of alumina ceramic total knee prosthesis in destruction and wear test. In Oonishi H, Aoki H, Sawai K (eds.) Recent advance in bioceramics. Ishiyaku EuroAmerica, Inc. pp231–236
18.
Zurück zum Zitat Yasuda K, Miyagi N, Kaneda K (1993) Low friction total knee arthroplasty with the alumina ceramic condylar prosthesis. Bull Hosp Jt Dis 53:15–21PubMed Yasuda K, Miyagi N, Kaneda K (1993) Low friction total knee arthroplasty with the alumina ceramic condylar prosthesis. Bull Hosp Jt Dis 53:15–21PubMed
Metadaten
Titel
Clinical results of posterior cruciate ligament retaining TKA with alumina ceramic condylar prosthesis: comparison to Co–Cr alloy prosthesis
verfasst von
Tokifumi Majima
Kazunori Yasuda
Hidenobu Tago
Yoshimitu Aoki
Akio Minami
Publikationsdatum
01.02.2008
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 2/2008
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-007-0435-4

Weitere Artikel der Ausgabe 2/2008

Knee Surgery, Sports Traumatology, Arthroscopy 2/2008 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.