A Comparison of the Clinical and Radiographic Results of Press Fit Condylar Rotating-Platform High-Flexion and Low Contact Stress Mobile Bearing Prosthesis in Total Knee Arthroplasty: Short term Results
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: This study compared the results of rotating-platform high-flexion (RP-F) total knee arthroplasty with low contact stress (LCS) for clinical and radiographical assessment after a short-term period. Materials and Methods: 68 total knee arthroplasties using a RP-F and LCS system were analyzed retrospectively. Thirty-five of the 68 were osteoarthritic knees and were followed-up for more than 2 years. The clinical evaluation included range of motion (ROM), Knee Society Knee Score and Function Score (KSKS and KSFS), tailor position and kneeling. The radiographic evaluation included femorotibial angle, position of implants, radiolucent line and position of patella. Results: The postoperative ROM, KSKS, and KSFS improved statistically in both implants. Comparing RP-F with LCS there were statistically no differences in ROM (p=0.863), KSKS (p=0.835), KSFS (p=0.535) and tailor position (p=0.489). There were no significant radiographic differences. Conclusions: Total knee arthroplasty with RP-F and LCS showed similar clinical and radiographic results; it also showed excellent and predictable results at the short-term follow up. However, in RP-F there was 1 case of early osteolysis, 1 case of patella clunk syndrome and 1 case of painful patella crepitus; therefore, further case studies and follow-up are needed.
Abstract
Purpose: This study compared the results of rotating-platform high-flexion (RP-F) total knee arthroplasty with low contact stress (LCS) for clinical and radiographical assessment after a short-term period. Materials and Methods: 68 total knee arthroplasties using a RP-F and LCS system were analyzed retrospectively. Thirty-five of the 68 were osteoarthritic knees and were followed-up for more than 2 years. The clinical evaluation included range of motion (ROM), Knee Society Knee Score and Function Score (KSKS and KSFS), tailor position and kneeling. The radiographic evaluation included femorotibial angle, position of implants, radiolucent line and position of patella. Results: The postoperative ROM, KSKS, and KSFS improved statistically in both implants. Comparing RP-F with LCS there were statistically no differences in ROM (p=0.863), KSKS (p=0.835), KSFS (p=0.535) and tailor position (p=0.489). There were no significant radiographic differences. Conclusions: Total knee arthroplasty with RP-F and LCS showed similar clinical and radiographic results; it also showed excellent and predictable results at the short-term follow up. However, in RP-F there was 1 case of early osteolysis, 1 case of patella clunk syndrome and 1 case of painful patella crepitus; therefore, further case studies and follow-up are needed.
참고문헌 (36)
- Argenson JN, "In vivo kinematic evaluation and design considerations related to high flexion in total knee arthroplasty", J Biomech., 38, pp.277~284 (2005)
- Buechel FF, "New Jersey low contact stress knee replacement system. Ten-year evaluation of meniscal bearings", Orthop Clin North Am., 20, pp.147~177 (1989)
- Ritter MA, "Effect of range of motion on the success of a total knee arthroplasty", J Arthroplasty, 2, pp.95~97 (1987)
- 이대희, "The NexGen LPS-flex to the knee prosthesis at a minimum of three years", J BONE JOINT SURG-BRIT VOL, 90B(10), pp.1304~1310
- Nakamura E, "Three-dimensional tibiofemoral kinematics during deep flexionkneeling in a mobile-bearing total knee arthroplasty", J Arthroplasty, 24, pp.1120~1124 (2009)
- Insall JN, "Rationale of the Knee Society clinical rating system", Clin Orthop Relat Res., (248), pp.13~14 (1989)
- Ewald FC, "The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system", Clin Orthop Relat Res., (248), pp.9~12 (1989)
- Thorpe CD, "Intra-articular fibrous bands. Patellar complications after total knee replacement", J Bone Joint Surg Am., 72, pp.811~814 (1990)
- Merchant AC, "Roentgenographic analysis of patellofemoral congruence", J Bone Joint Surg Am, 56, pp.1391~1396 (1974)
- Marrs H, "Comparative wear under four different tribological conditions of acetylene enhanced cross-linked ultra high molecular weight polyethylene", J Mater Sci Mater Med, 10, pp.333~342 (1999)
- McEwen HM, "The influence of design, materials and kinematics on the in vitro wear of total knee replacements", J Biomech, 38, pp.357~365 (2005)
- Menchetti PP, "Mechanical evaluation of mobile bearing knees", Am J Knee Surg, 10, pp.73~81 (1997)
- O’Connor JJ, "Theory and practice of meniscal knee replacement: designing against wear", Proc Inst Mech Eng H, 210, pp.217~222 (1996)
- Weaver JK, "Difficulties with bearing dislocation and breakage using a movable bearing total knee replacement system", Clin Orthop Relat Res, (290), pp.244~252 (1993)
- Ezzet KA, "Effect of component fixation method on osteolysis in total knee arthroplasty", Clin Orthop Relat Res, (321), pp.86~91 (1995)
- Goodfellow JW, "Clinical results of the Oxford knee. Surface arthroplasty of the tibiofemoral joint with a meniscal bearing prosthesis", Clin Orthop Relat Res, (205), pp.21~42 (1986)
- Morrison JB, "The mechanics of the knee joint in relation to normal walking", J Biomech, 3, pp.51~61 (1970)
- Ritter MA, "High-flexion knee designs: more hype than hope? In the affirmative", J Arthroplasty, 21, pp.40~41 (2006)
- Kurosaka M, "Maximizing flexion after total knee arthroplasty: the need and the pitfalls", J Arthroplasty, 17, pp.59~62 (2002)
- Bae DK, "Osteolysis around screw in cementless total knee replacement", J Korean Orthop Assoc, 33, pp.1301~1306 (1998)
- Cadambi A, "Osteolysis of the distal femur after total knee arthroplasty", J Arthroplasty, 9, pp.579~594 (1994)
- Ries MD, "Osteolysis associated with cemented total knee arthroplasty. A case report", J Arthroplasty, 9, pp.555~558 (1994)
- Schmalzried TP, "Wear in total hip and knee replacements", J Bone Joint Surg Am, 81, pp.115~136 (1999)
- Whiteside LA, "Effect of porous-coating configuration on tibial osteolysis after total knee arthroplasty", Clin Orthop Relat Res, (321), pp.92~97 (1995)
- King TV, "Femoral component loosening in total knee arthroplasty", Clin Orthop Relat Res, (194), pp.285~290 (1985)
- Han HS, "High incidence of loosening of the femoral component in legacy posterior stabilised-flex total knee replacement", J Bone Joint Surg Br, 89, pp.1457~1461 (2007)
- 김준식, "Comparison of the Low Contact Stress and Press Fit Condylar Rotating-Platform Mobile-Bearing Prostheses in Total Knee Arthroplasty A Prospective Randomized Study", JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 93A(11), pp.1001~1007, JOURNAL BONE JOINT SURGERY INC
- Cho SD, "Three- to six-year follow-up results after high-flexion total knee arthroplasty: can we allow passive deep knee bending?", Knee Surg Sports Traumatol Arthrosc, (19), pp.899~903 (2011)
- Nakayama K, "Contact stress at the post-cam mechanism in posterior-stabilised total knee arthroplasty", J Bone Joint Surg Br, 87, pp.483~488 (2005)
- Insall JN, "Surgery of the knee. 3rd ed", pp.1663~1664 (2001), Churchill Livingstone
- Hozack WJ, "The patellar clunk syndrome. A complication of posterior stabilized total knee arthroplasty", Clin Orthop Relat Res, (241), pp.203~208 (1989)
- Pollock DC, "Synovial entrapment: a complication of posterior stabilized total knee arthroplasty", J Bone Joint Surg Am, 84(84), pp.2174~2178 (2002)
- Beight JL, "The patellar “clunk” syndrome after posterior stabilized total knee arthroplasty", Clin Orthop Relat Res, (299), pp.139~142 (1994)
- Chiu KY, "Review article: kneeflexion after total knee arthroplasty", J Orthop Surg, 10, pp.194~202 (2002)
- Diduch DR, "The efficacy of arthroscopy following total knee replacement", Arthroscopy, 13, pp.166~171 (1997)
- Yau WP, "Patellar clunk syndrome after posterior stabilized total knee arthroplasty", J Arthroplasty, 18, pp.1023~1028 (2003)