Hipokrat 2000 total knee arthroplasty in gonarthrosis: midterm follow-up results

Year 2012, Volume: 29 Issue: 1, 1 - 5, 17.04.2012

Yılmaz Şahin , Birol Gulman N.Turgut Karaismailoglu Nevzat Dabak Yılmaz Tomak Ahmet Pişkin Murat Erdogan

https://doi.org/10.5835/jecm.omu.29.01.001

Abstract

The aim of this study is to assess the mid-term results of Hipokrat 2000 total knee arthroplasty applications in gonarthrosis cases. Between February 2000 and January 2004 in Department of Orthopedics, Medical Faculty, Ondokuz Mayıs University, Hipokrat 2000 total knee arthroplasty was applied to 68 knees (31 right, 37 left) of total 54 patients (49 female, 5 male) with the diagnosis of gonarthrosis. The average age of the patients at the time of surgery was 63.5 (distribution 49-80). Etiological reason was determined to be primary osteoarthritis in 49 patients and rheumatoid arthritis in 5 patients. Patellar component was used in 63 of the cases. The cases were assessed before and after the surgery in accordance with clinical and radiological evaluation and scoring system of the Knee Society. The average follow-up period was 52.6 months (distribution 28-76 months). In accordance with clinical evaluation system of the Knee Society, in 61 of the 68 knees (89.7%) the result was good or excellent, in 5 patients (7.3%) the result was fair, in 2 patients (2.9%) the result was poor. An increase of average 56.7 degrees in knee scores and average 52.1 degrees in function scores was detected. Average 37.5 degrees of increase was detected in the range of movement in comparison to pre-operation. The average alignment angle in the knees was found to be 4.68 degrees valgus. As complications; in one patient patellar subluxation, in one patient superfi cial infection, in one patient deep infection and in one patient deep vein thrombosis were seen. When studies carried out with other semi constrained, posterior cruciate ligament retaining surface replacement prosthesis brands in literature were reviewed; the fact that the clinical and radiological results of Hipokrat 2000 total knee arthroplasty are good shows that it is an appropriate prosthesis for advanced gonarthrosis cases.

Keywords

Gonarthrosis, Knee, Knee prothesis, Total knee arthroplasty

References

• Akgun, I., Ogut, T., Kesmezacar, H., Yucel, I., 2002. Total diz artroplastisi: 4.5 yıllık takip sonuçlarımız. Acta Orthop. Traum. Turc. 36, 93-99.
• Andriacchi, T.P., Galante, J.O., 1982. The influence of total knee replacement desings on function during walking and stair climbing. J. Bone Joint Surg. 64, 1328-1335.
• Back, D.L., Cannon, S.R., Hilton, A., Bankes, M.J., Briggs T.W., 2001.The Kinemax total knee arthroplasty. Nine years experience. J. Bone Joint Surg. 83, 359-363.
• Baktır, A., Kabak, Ş., Halıcı, M., 1997. Trikompartmantal sementli total diz artroplastisi sonuçlarımız. XV. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 727-730.
• Beksaç, B., Şener, N., Tözün, İ.R., 2006. Gonartroz tedavisinde total diz artroplastisi. Türkiye Klinikleri Cerrahi Tıp Bilimleri Dergisi. Ortop. Travm. 2, 102-104.
• Dorr, L.D., Ochsner, J.L., Gronley, J., Perry, J., 1988. Functional comparison of posterior cruciate retained versus cruciate sacrified total knee arthroplasty. Clin. Orthop. 236, 36-43.
• Erdemli, B., Bayrakcı, K., Güzel, B., Çetin, İ., 1997. Total diz protezlerinde orta ve uzun dönem takiplerimiz. XV. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 744-747.
• Ewald, F.C., 1989. The knee society total knee arthroplasty roentgenographic evalution and scoring system. Clin. Orthop. 248, 9-12.
• Gil, G.S., Mills, D.N., 1991. Longterm followup evaluation of 1000 consecutive cemented total knee arthroplasties. Clin. Orthop. 273, 66-76.
• Gunstone, H., 1971. Polycentric knee artroplasty, prosthetic simulation of normal knee movement. J. Bone Joint Surg. 2, 272-277. Hungerford, D.S., Krackow, K.A., 1985. Total joint arthroplasty of the knee. Clin. Orthop. 192, 23-33.
• Hungerford, D.S., Krackow, K.A., Kenna, R.V., 1989. Cementless total knee replacement in patients 50 years old and under. Orthop. Clin. North Am. 20, 131-145.
• Insall, J.N., 1984. Total knee replacement. surgery of the knee. New York: Churchill Livingstone. 587-695.
• Insall, J.N., Binnaji, R., Soudry, M., Mestriner, L.A., 1985. Total knee arthroplasty. Clin. Orthop. 192, 13-22.
• Insall, J.N., Dorr, L.D., Scott, W.N., 1989. Rationale of the knee society clinical rating sysyem. Clin. Orthop. 248, 13-14.
• Insall, J.N., 1993. Surgery of the knee. Churchill Livingstone, New York.
• Kadoya, Y., Kobayashi, A., Komatsu, T., Nakagawa, S., Yamano, Y., 2001. Effects of posterior cruciate ligament resection on the tibiofemoral joint gap. Clin. Orthop. Relat. Res. 391, 210-217.
• Kayler, D.E., Lyttle, D., 1988. Surgical interruption of patellar blood supply by total knee arthroplasty. Clin. Orthop. 229, 221-227.
• Laskin, R.S., Rieger, M.A., 1989. The surgical technique for performing a total knee replacement arthroplasty. Orthop. Clin. North Am. 20, 31-48.
• Malkani, A.L., Rand, J.A., Byron, R.S., Wallrichs, S.L., 1995. Total knee arthroplasty with the kinematic condylar prothesis. J. Bone Joint Surg.77, 423-431.
• Merkow, R.L., Soudry, M., Insall, J.N., 1985. Patellar dislocation following total knee replacement. J. Bone Joint Surg. 67, 1321-1327.
• Mert, M., Caniklioğlu, M., Türel, Ş., Büyükgör, Ü.A., 1999. AGC total diz artroplastisi uygulaması ve geç takip sonuçlarımız. XVI. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 925-928.
• Mirzanlı, C., Mert, M., Azar, N., Büyükgör, Ü.A., 2000. Kinematik kondiler AGC total diz artroplastisi: Orta dönem takip sonuçları. Acta Orthop. Traum. Turc. 34, 273-277.
• Mihalko, W.M., Krackow, K.A., 1999. Posterior cruciate ligament effects on the flexion space in total knee arthroplasty. Clin. Orthop. Relat. Res. 360, 243-250.
• Ranawat, C.S., Boachie-Adjei, O., 1988. Survivorship analysis and results of total condylar knee arthroplasty; eight to 11-year follow-up period. Clin. Orthop. 226, 6-13.
• Rand, J.A., Fitzgerald, R.H., 1989. Diagnosis and management of the infected total knee arthroplasty. Orthop. Clin. North Am. 20, 201-210.
• Rand, J.A., 1994. The patellofemoral joint in total knee arthroplasty. .J. Bone Joint Surg. 76, 612-620.
• Ritter, M.A., Thomberry, R.L., Sliver, L.M., 1985. Total knee replacement and total hip arthroplasty: A comparison of result: Contemp. Orthop.10, 73-77.
• Rowley, D.I., McGurty, D.W., 2001. A seven-year experience of data collection on the Insall-Burstein II total knee arthroplasty. A prospective study. J. Bone Joint Surg. 83, 185-190.
• Scott, R.D., Volatile, T.B., 1986. Twelve years experience posterior cruciate retained total knee arthroplasty. Clin. Orthop. 205, 100-107.
• Scuderi, G.R., Insall, S.N., 1992. Total knee arthroplasty. Current clinical perspectives. Clin. Orthop. 276, 26-32.
• Segawa, H., Tsukayama, D.T., Kyle, R.F., Becker, D.A., Gustilo, R.B., 1999. Infection after total knee arthroplasty. A retrospective study of the treatment of eighty-one infections. J. Bone Joint Surg. 81, 1434-1445.
• Soudry, M., Mestriner, L.A., Binazzi, R., Insall, J.N., 1986. Total knee arthroplasty without patellar resurfacing. Clin. Orthop. 205, 166-170.
• Stern, H., Bowen, M., Insall, J.N., Scuderi, G.R., 1990. Cemented total knee arthroplasty for gonarthrosis in patients 55 years or younger. Clin. Orthop. 260, 124-129.
• Tooms, R.E., 1992. Artroplasty of ankle and knee. Campell’s operative orthopaedics. Eighth edition. St. Louis: Mosby Year Book. 371-439.
• Tözün, İ.R., 1990. Total diz endoprotezlerinde preoperatif hazırlık ve postoperatif değerlendirme. Acta Orthop. Traum. Turc. 24, 352-358.
• Tözün, İ.R., Alparslan, M., Çetin, İ., Atik, Ş., 1990. Total diz endoprotezlerinin değerlendirilme ve puanlamasında hangi metod kullanılmalıdır? Acta Orthop. Traum. Turc. 24, 359-362.
• Turanlı, S., Doğrul, H.T., Bozbeyoğlu, L., 1995. Total diz artroplastisi uygulamalarımız ve erken sonuçlar. Turkish journal of arthroplasty and arthroscopic Surg. 11, 15-18.
• Tümöz, M.A., Köse, C.C., Seven, S., Nuhoğlu, N., 1999. Total diz protezi uygulamalarımızda erken takip sonuçları. XVI. Milli Türk Ortopedi ve Travmatoloji Kongre Kitabı. 918-921.