Cemented rotating-platform total knee replacement. A nine to twelve-year follow-up study.

作者: JOHN J. CALLAGHAN , MATT W. SQUIRE , DEVON D. GOETZ , PATRICK M. SULLIVAN , RICHARD C. JOHNSTON

DOI: 10.2106/00004623-200005000-00011

关键词: Follow up studiesLow contact stressProsthesisSurgery kneeSurgeryTotal kneeRadiographyKnee replacementMedicineTotal knee replacement

摘要: Background: Although the LCS (low contact stress) rotating-platform mobile-bearing knee replacement has been used extensively, there have few intermediate or long-term clinical and radiographic follow-up studies evaluating device. The purpose of this study was to report nine twelve-year results a consecutive series patients who had primary total performed with Methods: Between November 1985 1988, senior author (R. C. J.) 119 arthroplasties in eighty-six femoral tibial components Townley all-polyethylene dome patellar component. All were fixed cement. average age at time operation seventy years (range, thirty-seven eighty-eight years). Fifty-two (seventy-six knees) female, thirty-four (forty-three male. evaluated ratings analysis twelve following replacement. Results: At follow-up, sixty-four (eighty-six alive, eighteen (twenty-eight died, four (five lost follow-up. Of 114 knees eighty-two for whom final outcome known, none required reoperation dislocation prosthesis. For forty-five (sixty-six returned examinations years, functional Knee Society 30 points 2 70 points) 44 0 80 preoperatively 90 63 102 75 100 evaluation. Hospital Special Surgery rating 57 28 84 59 97 active range flexion from degrees 10 degrees) 15 120 Seven sixty-six painful anteriorly. There no periprosthetic osteolysis evidence loosening on radiographs. Conclusions: After cemented found be performing well, durable results.

参考文章(30)
J A Rand, D M Ilstrup, Survivorship analysis of total knee arthroplasty. Cumulative rates of survival of 9200 total knee arthroplasties. Journal of Bone and Joint Surgery, American Volume. ,vol. 73, pp. 397- 409 ,(1991) , 10.2106/00004623-199173030-00011
D L Bartel, V L Bicknell, T M Wright, The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint replacement. Journal of Bone and Joint Surgery, American Volume. ,vol. 68, pp. 1041- 1051 ,(1986) , 10.2106/00004623-198668070-00010
Pappas Mj, Buechel Ff, New Jersey low contact stress knee replacement system. Ten-year evaluation of meniscal bearings. Orthopedic Clinics of North America. ,vol. 20, pp. 147- ,(1989)
Merrill A. Ritter, Elaine Campbell, Philip M. Faris, E. Michael Keating, Long-term survival analysis of the posterior cruciate condylar total knee arthroplasty. A 10-year evaluation. Journal of Arthroplasty. ,vol. 4, pp. 293- 296 ,(1989) , 10.1016/S0883-5403(89)80029-4
J Wright, F C Ewald, P S Walker, W H Thomas, R Poss, C B Sledge, Total knee arthroplasty with the kinematic prosthesis. Results after five to nine years: a follow-up note. Journal of Bone and Joint Surgery, American Volume. ,vol. 72, pp. 1003- 1009 ,(1990) , 10.2106/00004623-199072070-00007
W N Scott, M Rubinstein, G Scuderi, Results after knee replacement with a posterior cruciate-substituting prosthesis. The Journal of Bone & Joint Surgery. ,vol. 70, pp. 1163- 1173 ,(1988) , 10.2106/00004623-198870080-00007
JN Insall, CS Ranawat, P Aglietti, J Shine, A comparison of four models of total knee-replacement prostheses Journal of Bone and Joint Surgery, American Volume. ,vol. 58, pp. 754- 765 ,(1976) , 10.2106/00004623-197658060-00003
ROBERT L. BARRACK, MICHAEL W. WOLFE, DOUGLAS A. WALDMAN, MATKO MILICIC, ALEXANDER J. BERTOT, LEANN MYERS, Resurfacing of the Patella in Total Knee Arthroplasty. A Prospective, Randomized, Double-Blind Study* Journal of Bone and Joint Surgery, American Volume. ,vol. 79, pp. 1121- 1131 ,(1997) , 10.2106/00004623-199708000-00002
F. F. Buechel, M. J. Pappas, Long-term survivorship analysis of cruciate-sparing versus cruciate-sacrificing knee prostheses using meniscal bearings. Clinical Orthopaedics and Related Research. ,vol. 260, pp. 162- 169 ,(1990) , 10.1097/00003086-199011000-00027
F. F. Buechel, M. J. Pappas, The New Jersey Low-Contact-Stress Knee Replacement System: biomechanical rationale and review of the first 123 cemented cases. Archives of Orthopaedic and Trauma Surgery. ,vol. 105, pp. 197- 204 ,(1986) , 10.1007/BF00435480