Orta yas popülasyonda hareketli Tasiyici (Mobile-bearing) total diz artroplastisi olgularinin kisa-orta dönem klinik sonuçlari

Kamil Çagri Köse; Oguz Cebesoy; Volkan Ergan; Burak Akan; Dervis Güner; İlhami Kuru; Levent Altınel; Mehmet B Innet; İlker Çetın

The short-mid term clinical results of mobile bearing total knee protheses in middle aged populatio

Year 2007, Volume: 9 Issue: 1, 20 - 26, 01.03.2007

Kamil Çagri Köse Oguz Cebesoy Volkan Ergan Burak Akan Dervis Güner İlhami Kuru Levent Altınel Mehmet B Innet İlker Çetın

Abstract

Purpose: The aim of this study is to determine the short -midterm functional results of mobile bearing total knee arthroplasty (MBTKA) in a patients population younger than 65 years old. Methods: Forty one patients younger than 65 years, who underwent MBTKA between 2002 and 2005 years were included in the study. They were followed-up for 30 months(18-48 months). Results: Postoperative mean knee score was 94 and pain score was 25. Of 41 patients, one patient was revised because of a deep infection nonresponsive to antibiotic treatment and another one because of bearing dislocation. When revision for any reason was considered as the ultimate, the implant survival was 95.45% at 30 months. Conclusion: When compared to the fixed bearing prostheses in the literature, mobile bearing total knee prostheses give comparable clinical results in individuals younger than 65 years in short -mid term

Keywords

mobile bearing , functional result , total knee arthroplasty , middle age

References

Buechel FF: Cementless meniscal bearing knee arthroplasty: 7 to 12 year outcome analysis. Orthopedics. 17:833–836, 1994.
Goodfellow JW, O’Connor J: Clinical results of the Oxford knee: Surface arthroplasty of the tibiofemoral joint with a meniscal bearing prosthesis. Clin Orthop. 205:21–42, 1996.
Murray DN, Goodfellow JW, O’Connor JJ: The Oxford medial unicompartmental arthroplasty. J Bone Joint Surg. 80:983–989, 1998.
Callahan CM, Drake BG, Heck DA, Dittus RS: Patient outcomes following tricompartmental total knee replacement: A meta analysis. JAMA. 271:1349–1357, 1994.
Malkani AL, Rand JA, Bryan RS, Wallrichs SL: Total knee arthroplasty with the kinematic condylar prosthesis: A ten-year follow-up study. J Bone Joint Surg. 77: 423-431, 1995.
Stern SH, Insall JN: Posterior stabilized prosthesis: Results after follow-up of nine to twelve years. J Bone Joint Surg. 74:980–986, 1992.
Whiteside LA: Osteolysis in cementless total knee arthroplasty: Effect of tibial design parameter. Clin Orthop. 321:92–9, 1995.
Ranawat CS, Padgett DE, Ohashi Y: Total knee arthroplasty for patients younger than 55 years. Clin Orthop. 248:27–33, 1989.
Sorrells RB: Primary knee arthroplasty: Long term outcomes: The rotating platform mobile bearing TKA. Orthopedics. 19:793– 796, 1996.
Stuart MJ, Rand JA: Total knee arthroplasty in young adults who have rheumatoid arthritis. J Bone Joint Surg. 70:84–87, 1988.
Ranawat CS, Flynn WF Jr, Saddler S, Hansraj KK, Maynard MJ: Long-term results of the total condylar knee arthroplasty: A 15- year survivorship study. Clin Orthop. 286:94–102, 1993.
Ranawat CS, Hansraj KK: Effect of posterior cruciate sacrifice on durability of the cement- bone interface: A nine-year survivorship study of 100 total condylar knee arthroplasties. Orthop Clin North Am. 20:63–69,1989.
Rand JA: Supracondylar fracture of the femur associated with polyethylene wear after total knee arthroplasty. J Bone Joint Surg. 76:1389– 1393, 1994.
Jordan LR, Olivo JL, Voorhorst PE: Survivorship analysis of cementless meniscal bearing total knee arthroplasty. Clin Orthop. 338:119–123, 1997.
Stiehl JB, Voorhorst PE: Total knee arthroplasty with a mobile -bearing prosthesis: Comparison of retention and sacrifice of the posterior cruciate ligament in cementless implants. Am J Orthop. 28:223–228, 1999.
Sorrells RB, Voorhorst PE, Murphy JA, Bauschka MP, Greenwald AS: Uncemented rotating- platform total knee replacement: a five to twelve- year follow-up study. J Bone Joint Surg Am. 86- :2156-62, 2004.
Buechel FF Sr: Long-term followup after mobile- bearing total knee replacement.Clin Orthop Relat Res. 404:40-50, 2002.
Watanabe T, Tomita T, Fujii M, Hashimoto J, Sugamoto K, Yoshikawa H: Comparison between mobile-bearing and fixed-bearing knees in bilateral total knee replacements. Int Orthop. 29:179-81, 2005.
Bhan S, Malhotra R, Kiran EK, Shukla S, Bijjawara M: A comparison of fixed-bearing and mobile-bearing total knee arthroplasty at a minimum follow-up of 4.5 years. J Bone Joint Surg Am. 87:2290-2296, 2005.
Duffy GP, Trousdale RT, Stuart MJ: Total knee arthroplasty in patients 55 years old or younger: 10 to 17 year results. Clin Orthop. 356:22–27, 1998.
Diduch DR, Insall JN, Scott WN, Scuderi GR, Font-Rodriguez D: Total knee replacement in young, active patients: Long-term followup and functional outcome. J Bone Joint Surg. 79:575– 582, 1997.
Stern SH, Bowen MK, Insall JN, Scuderi GR: Cemented total knee arthroplasty for gonarthrosis in patients 55 years old or younger. Clin Orthop. 260:124–129, 1990.
Taylor J, Rorabeck CH, Bourne RB: Total Knee Arthroplasty in Patients 50 Years or Younger: Long Term Follow-up. Proceedings 67th Annual Meeting American Academy of Orthopaedic Surgeons. March 15–19, Orlando, FL 548, 2000.
Scott WN, Rubinstein M, Scuderi G: Results after knee replacement with a posterior cruciate- substitution prosthesis. J Bone Joint Surg. 70:1163–1173, 1988.
Stulberg SD, Stulberg BN, Hamati Y, Tsao A: Failure mechanisms of metal-backed patellar components. Clin Orthop. 236:88–105, 1988.
Huang CH, Ma HM, Liau JJ, Ho FY, Cheng CK: Late dislocation of rotating platform in New Jersey Low-Contact Stress knee prosthesis.Clin Orthop Relat Res. 405:189-94, 2002.
Stiehl JB: World experience with low contact stress mobile-bearing total knee arthroplasty: a literature review. Orthopedics. 25(2 Suppl):213-7, 2002.
Colizza WA, Insall JA, Scuderi GR: The posterior stabilized total knee prosthesis: Assessment of polyethylene damage and osteolysis after a ten- year minimum follow-up. J Bone Joint Surg. 77.1713– 1720, 1995.
Engh GA, Dwyer KA, Hanes CK: Polyethylene wear of metal-backed tibial components in total and unicompartmental knee prostheses. J Bone Joint Surg. 74:9–17, 1992.
Whiteside LA: Cementless total knee replacement: 9–11 year results. Clin Orthop. 309:185–192, 1994.
Schai PA, Thornhill TS, Scott RD: Total knee arthroplasty with the PFC system: Results of a minimum of ten years and survivorship analysis. J Bone Joint Surg. 80:850–858, 1998.
Collier JP, Mayor MB, McNamara JL, Surprenant VA, Jensen RE: Analysis of failure of 122 polyethylene inserts from uncemented tibial knee components. Clin Orthop. 273:232– 242, 1991.
Huang CH, Ma HM, Lee YM, Ho FY: Long- term results of low contact stress mobile- bearing total knee replacements. Clin Orthop Relat Res. 416:265-70, 2003.
Callaghan JJ, O'Rourke MR, Iossi MF, Liu SS, Goetz DD, Vittetoe DA, Sullivan PM, Johnston RC: Cemented rotating-platform total knee replacement. a concise follow-up, at a minimu m of fifteen years, of a previous report. J Bone Joint Surg Am. 87:1995-1998, 2005.
Papachristou G, Plessas S, Sourlas J, Chronopoulos E, Levidiotis C, Pnevmaticos S: Cementless LCS rotating-platform knee arthroplasty in patients over 60 years without patella replacement: a mid-term clinical-outcome study. Med Sci Monit. 12:264-268, 2006.
Rand JA, Ilstrup DM: Survivorship analysis of total knee arthroplasty: Cumulative rates of survival of 9200 total knee arthroplasties. J Bone Joint Surg. 73:397– 401, 1991.
Vince KG, Insall JN, Kelly MA: The total condylar prosthesis: 10- to 12 year results of a cemented knee replacement. J Bone Joint Surg. 71:793– 797,1989.