TY - JOUR
T1 - Revision total knee arthroplasty
T2 - Fixation with modular stems
AU - Gofton, Wade T.
AU - Tsigaras, Harry
AU - Butler, R. Allen
AU - Patterson, James J.
AU - Barrack, Robert L.
AU - Rorabeck, Cecil H.
PY - 2002/11/1
Y1 - 2002/11/1
N2 - The number of revision total knee replacements continues to increase annually. To date, much of the literature has focused on the performance of titanium revision systems. The primary aim of the current study was to review the mid term results of a contemporary revision knee system, with alternative design features. Ninety-one consecutive patients having aseptic revision total knee arthroplasty with one, modular all-cobalt chrome stemmed revision knee system using hybrid stem fixation were studied prospectively. Eighty-nine revisions in 84 patients were reviewed at a mean of 5.9 years (range, 4.1-8.6 years). Significant improvements in pain scores (15 ± 14 to 38 ± 14), function (40 ± 24 to 53 ± 29), range of motion (88° ± 23° to 98° ±18°), and total Knee Society score (85 ± 40 to 132 ± 40) were seen at followup. Five patients had revision surgery, with a Kaplan-Meier survivorship of 93.5% at 8.6 years. Intermediate results support the use of cobalt chrome components and hybrid cement fixation; however, this fixation in combination with high articular constraint requires continued monitoring.
AB - The number of revision total knee replacements continues to increase annually. To date, much of the literature has focused on the performance of titanium revision systems. The primary aim of the current study was to review the mid term results of a contemporary revision knee system, with alternative design features. Ninety-one consecutive patients having aseptic revision total knee arthroplasty with one, modular all-cobalt chrome stemmed revision knee system using hybrid stem fixation were studied prospectively. Eighty-nine revisions in 84 patients were reviewed at a mean of 5.9 years (range, 4.1-8.6 years). Significant improvements in pain scores (15 ± 14 to 38 ± 14), function (40 ± 24 to 53 ± 29), range of motion (88° ± 23° to 98° ±18°), and total Knee Society score (85 ± 40 to 132 ± 40) were seen at followup. Five patients had revision surgery, with a Kaplan-Meier survivorship of 93.5% at 8.6 years. Intermediate results support the use of cobalt chrome components and hybrid cement fixation; however, this fixation in combination with high articular constraint requires continued monitoring.
UR - http://www.scopus.com/inward/record.url?scp=0036850553&partnerID=8YFLogxK
U2 - 10.1097/00003086-200211000-00028
DO - 10.1097/00003086-200211000-00028
M3 - Article
C2 - 12439256
AN - SCOPUS:0036850553
SN - 0009-921X
VL - 404
SP - 158
EP - 168
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
ER -