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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.12.2013 | Knee

Single-radius, multidirectional total knee replacement

verfasst von: Jean-Yves Jenny, Rolf Miehlke, Dominique Saragaglia, Robert Geyer, Numa Mercier, Jean-Yves Schoenahl, Birger Thiel

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2013

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Abstract

Purpose

The present study was designed to evaluate the mid-term (5- to 8-year) survival rate of a new total knee replacement (TKR) with a single-radius femoral component and a multidirectional, highly congruent tibial component, in comparison with an historical group (TKR with multi-radius design and fixed bearing).

Methods

Four hundred and thirty patients were included, of which 369 patients (86 %) completed the 5-year follow-up with Knee Society Score evaluation and radiograph examination (study group = 387, control group = 83).

Results

There was a significant improvement for all analysed items between pre-operative status and late follow-up. Mean knee score was 93 ± 9 points in the study group and 88 ± 16 points in the control group (p < 0.001). Mean flexion angle was not different (118 ± 11 vs. 114 ± 13 degrees). Mean functional score was 87 ± 16 points in the study group and 71 ± 24 points in the control group (p < 0.001). Survival rate at 5-year follow-up was 98.8 % (vs. 98.0 %) for mechanical revisions only, and 96.4 % (vs. 98.1 %) for all revisions.

Conclusions

The new TKR allowed obtaining significantly better results than the fixed-bearing TKR. These results are in line with the best series published in the current literature, but there was no evidence of any superiority of this TKR against already published standards.

Level of evidence

Case series with comparison group, Level III.

Aglietti P, Baldini A, Buzzi R, Lup D, De Luca L (2005) Comparison of mobile-bearing and fixed-bearing total knee arthroplasty: a prospective randomized study. J Arthroplasty 20:145–153PubMedCrossRef

Ahlback S (1968) Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn (Suppl 277):1–72

Baldini A, Anderson JA, Zampetti P, Pavlov H, Sculco TP (2006) A new patellofemoral scoring system for total knee arthroplasty. Clin Orthop Relat Res 452:150–154PubMedCrossRef

Borrione F, Bonnevialle P, Mabit C, Guingand O, Bertin D, Bonnomet F, Denis C, Gagna G (2011) Scorpio single radius total knee arthroplasty. A minimal five-year follow-up multicentric study. Int Orthop 35:1777–1782PubMedCrossRef

Bozic KJ, Kurtz SM, Lau E, Ong K, Chiu V, Vail TP, Rubash HE, Berry DJ (2011) The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res 468:45–51CrossRef

Buechel FF Sr, Buechel FF Jr, Pappas MJ, Dalessio J (2002) Twenty-year evaluation of the New Jersey LCS rotating platform knee replacement. J Knee Surg 15:84–89PubMed

Carothers JT, Kim RH, Dennis DA, Southworth C (2010) Mobile-bearing total knee arthroplasty. A meta-analysis. J Arthroplasty 26:537–542PubMedCrossRef

Chang CW, Lai KA, Yang CY, Lan SM (2011) Early mechanical complications of a multidirectional mobile-bearing total knee replacement. J Bone Joint Surg Br 93:479–483PubMed

Chiu KY, Ng TP, Tang WM, Yau WP (2002) Review article: knee flexion after total knee arthroplasty. J Orthop Surg (Hong Kong) 10:194–202

10.

Chouteau J, Lerat JL, Testa R, Moyen B, Fessy MH, Banks SA (2009) Mobile-bearing insert translational and rotational kinematics in a PCL-retaining total knee arthroplasty. Orthop Traumatol Surg Res 95:254–259PubMedCrossRef

11.

Colwell CW Jr, Chen PC, D’Lima D (2011) Extensor malalignment arising from femoral component malrotation in knee arthroplasty: effect of rotating-bearing. Clin Biomech 26:52–57CrossRef

12.

Forster MC (2003) Survival analysis of primary cemented total knee arthroplasty: which designs last? J Arthroplasty 18:265–270PubMedCrossRef

13.

Geiger F, Mau H, Krueger M, Thomsen M (2008) Comparison of a new mobile bearing total knee prosthesis with a fixed bearing prosthesis: a matched pair analysis. Arch Orthop Trauma Surg 128:285–291PubMedCrossRef

14.

Grupp TM, Miehlke RK, Hintner M, Schwiesau J, Kaddick C (2011) In vitro knee wear, kinematics and particle morphology among different bearing geometries in a mobile bearing knee system. ASTM JAI 8:1–10

15.

Hollister AM, Jatana S, Singh AK, Sullivan WW, Lupichuk AG (1993) The axes of rotation of the knee. Clin Orthop Relat Res 290:259–268PubMed

16.

Hudd A, Kunasingam K, Ricketts D, Bush J (2009) A 5 to 8 year follow-up study of the Rotaglide mobile bearing total knee arthroplasty. Int Orthop 33:675–678PubMedCrossRef

17.

Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the knee society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed

18.

Ishida K, Matsumoto T, Tsumura N, Kubo S, Kitagawa A, Chin T, Iguchi T, Kurosaka M, Kuroda R (2011) Mid-term outcomes of computer-assisted total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 19:1107–1112PubMedCrossRef

19.

Jenny JY, Jenny G (1998) Preservation of anterior cruciate ligament in total knee arthroplasty. Arch Orthop Trauma Surg 118:145–148PubMedCrossRef

20.

Jenny JY, Boeri C (2001) Computer-assisted implantation of total knee prostheses: a case-control comparative study with classical instrumentation. Comput Aided Surg 6:217–220PubMedCrossRef

21.

Jenny JY, Clemens U, Kohler S, Kiefer H, Konermann W, Miehlke RK (2005) Consistency of implantation of a total knee arthroplasty with a non-image-based navigation system: a case-control study of 235 cases compared with 235 conventionally implanted prostheses. J Arthroplasty 20:832–839PubMedCrossRef

22.

Jenny JY, Miehlke RK, Giurea A (2008) Learning curve in navigated total knee replacement. A multi-centre study comparing experienced and beginner centres. Knee 15:80–84PubMedCrossRef

23.

Jones VC, Barton DC, Fitzpatrick DP, Auger DD, Stone MH, Fisher J (1999) An experimental model of tibial counter face polyethylene wear in mobile bearing knees: the influence of design and kinematics. Biomed Mater Eng 9:189–196PubMed

24.

Kim TK, Chang CB, Kang YG, Chung BJ, Cho HJ, Seong SC (2010) Early clinical outcomes of floating platform mobile-bearing TKA: longitudinal comparison with fixed-bearing TKA. Knee Surg Sports Traumatol Arthrosc 18:879–888PubMedCrossRef

25.

Kim YH, Kim JS, Choi Y (2009) Osteolysis after unidirectional and multidirectional mobile-bearing total knee arthroplasty in young patients. J Arthroplasty 24:586–593PubMedCrossRef

26.

Lemaire RG (2010) Mid-term results with a highly congruous mobile-bearing knee prosthesis. Knee Surg Sports Traumatol Arthrosc 18:170–180PubMedCrossRef

27.

Li S, Chen Y, Su W, Zhao J, He S, Luo X (2010) Systematic review of patellar resurfacing in total knee arthroplasty. Int Orthop 35:305–316PubMedCrossRef

28.

Massin P, Heizmann J, Prove S, Dupuy FR, Ponthieux A (2008) Accuracy and reproducibility of computer-assisted measurement of polyethylene wear in knee arthroplasty. Acta Orthop Belg 74:72–82PubMed

29.

Metsovitis SR, Ploumis AL, Chantzidis PT, Terzidis IP, Christodoulou AG, Dimitriou CG, Tsakonas AC (2011) Rotaglide total knee arthroplasty: a long-term follow-up study. J Bone Joint Surg Am 93:878–884PubMedCrossRef

30.

Morra EA, Greenwald SE (2005) Polymer insert stress in total knee designs during high-flexion activities: a finite element study. J Bone Joint Surg Am 87(Suppl 2):120–124PubMedCrossRef

31.

Narayan K, Thomas G, Kumar R (2009) Is extreme flexion of the knee after total knee replacement a prerequisite for patient satisfaction? Int Orthop 33:671–674PubMedCrossRef

32.

Russo A, Bragonzoni L, Trozzi C, Iacono F, Visani A, Marcacci M (2008) Radiostereometric measurement of polyethylene deformation pattern in meniscal bearing TKR at 5 years follow-up. Knee Surg Sports Traumatol Arthrosc 16:142–147PubMedCrossRef

33.

Seon JK, Song EK, Yoon TR, Park SJ, Bae BH, Cho SG (2007) Comparison of functional results with navigation-assisted minimally invasive and conventional techniques in bilateral total knee arthroplasty. Comput Aided Surg 12:189–193PubMed

34.

Seon JK, Song EK, Park SJ, Lee DS (2010) The use of navigation to obtain rectangular flexion and extension gaps during primary total knee arthroplasty and midterm clinical results. J Arthroplasty 26:582–590PubMedCrossRef

35.

Siu D, Cooke TD, Broekhiven LD, Lam M, Fisher B, Saunders G, Challis TW (1991) A standardized technique for lower limb radiography. Practice, applications, and error analysis. Invest Radiol 26:71–77PubMedCrossRef

36.

Smith TO, Ejtehadi F, Nichols R, Davies L, Donell ST, Hing CB (2010) Clinical and radiological outcomes of fixed- versus mobile-bearing total knee replacement: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 18:325–340PubMedCrossRef

37.

Spencer SJ, Baird K, Young D, Tait GR (2011) The Rotaglide mobile bearing knee arthroplasty. A 10- to 13-year review from an independent centre. Knee 19:20–23PubMedCrossRef

38.

Stiehl JB, Hamelynck KJ, Voorhorst PE (2006) International multi-centre survivorship analysis of mobile bearing total knee arthroplasty. Int Orthop 30:190–199PubMedCrossRef

39.

Van der Bracht H, Van Maele G, Verdonk P, Almqvist KF, Verdonk R, Freeman M (2010) Is there any superiority in the clinical outcome of mobile-bearing knee prosthesis designs compared to fixed-bearing total knee prosthesis designs in the treatment of osteoarthritis of the knee joint? A review of the literature. Knee Surg Sports Traumatol Arthrosc 18:367–374PubMedCrossRef

Titel: Single-radius, multidirectional total knee replacement
verfasst von: Jean-Yves Jenny
Rolf Miehlke
Dominique Saragaglia
Robert Geyer
Numa Mercier
Jean-Yves Schoenahl
Birger Thiel
Publikationsdatum: 01.12.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-012-2178-0

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Methods

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