Mid- to long-term results of revision total knee replacement using press-fit intramedullary stems with cemented femoral and tibial components

作者: P. Manopoulos , E. Havet , O. Pearce , J. F. Lardanchet , P. Mertl

DOI: 10.1302/0301-620X.94B7.26943

关键词: MedicineSurvival rateAseptic processingRadiological weaponArthroplastyIntramedullary rodRadiographyRetrospective cohort studySurgeryRange of motion

摘要: This was a retrospective analysis of the medium- to long-term results 46 TC3 Sigma revision total knee replacements using long uncemented stems in press-fit mode. Clinical and radiological took place pre-operatively, at two years post-operatively, at mean follow-up 8.5 years (4 to 12). The pre-operative International Knee Society (IKS) clinical score 42 points (0 74), improving 83.7 (52 to 100) by final follow-up. IKS for function improved from 34.3 80) 64.2 (15 100) follow-up. At 30 knees (65.2%) had an excellent result, seven (15.2%) good one (2.2%) medium eight (17.4%) poor result. There were failures, with anteroposterior instability and aseptic loosening. system, when used long intramedullary cemented femoral tibial components, in both septic revisions, satisfactory clinical outcome, has medium- long-term survival rate.

参考文章(28)
Hanssen Ad, Murray Pb, Rand Ja, Cemented long-stem revision total knee arthroplasty. Clinical Orthopaedics and Related Research. pp. 116- 123 ,(1994)
Christopher L. Peters, Ryan Hennessey, Regina M. Barden, Jorge O. Galante, Aaron G. Rosenberg, Revision total knee arthroplasty with a cemented posterior-stabilized or constrained condylar prosthesis : a minimum 3-year and average 5-year follow-up study Journal of Arthroplasty. ,vol. 12, pp. 896- 903 ,(1997) , 10.1016/S0883-5403(97)90159-5
Long W, Vince Kg, Revision knee arthroplasty : the limits of press fit medullary fixation Clinical Orthopaedics and Related Research. pp. 172- 177 ,(1995)
James M. Hartford, Stuart B. Goodman, David J. Schurman, Gunther Knoblick, COMPLEX PRIMARY AND REVISION TOTAL KNEE ARTHROPLASTY USING THE CONDYLAR CONSTRAINED PROSTHESIS : AN AVERAGE 5-YEAR FOLLOW-UP Journal of Arthroplasty. ,vol. 13, pp. 380- 387 ,(1998) , 10.1016/S0883-5403(98)90002-X
Robert L. Barrack, Gerard Engh, Cecil Rorabeck, Jaswin Sawhney, Michael Woolfrey, Patient satisfaction and outcome after septic versus aseptic revision total knee arthroplasty. Journal of Arthroplasty. ,vol. 15, pp. 990- 993 ,(2000) , 10.1054/ARTH.2000.16504
Ichiro Yoshii, Leo A. Whiteside, Michael T. Milliano, Stephen E. White, The effect of central stem and stem length on micromovement of the tibial tray. Journal of Arthroplasty. ,vol. 7, pp. 433- 438 ,(1992) , 10.1016/S0883-5403(07)80036-2
Michael A. Conditt, Brian S. Parsley, Jerry W. Alexander, Sean D. Doherty, Philip C. Noble, The optimal strategy for stable tibial fixation in revision total knee arthroplasty Journal of Arthroplasty. ,vol. 19, pp. 113- 118 ,(2004) , 10.1016/J.ARTH.2004.06.010
M.J. Winemaker, D.M. Beingessner, C.H. Rorabeck, Revision total knee arthroplasty: should tibial stems be cemented or uncemented? Knee. ,vol. 5, pp. 175- 181 ,(1998) , 10.1016/S0968-0160(97)10012-6