scholarly journals Mid-to Long-Term Survival of Total Knee Arthroplasty in Hemophilic Arthropathy

2020 ◽  
Vol 9 (10) ◽  
pp. 3247
Author(s):  
Jung-Kwon Bae ◽  
Kang-Il Kim ◽  
Sang-Hak Lee ◽  
Myung-Chul Yoo
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Term Survival ◽  
Long Term Survival ◽  
Hemophilic Arthropathy ◽  
Prosthesis Survival ◽  
Total Knee ◽  
The Mean

While satisfactory results have been reported during short-to mid-term follow-up assessments of hemophilic patients who have undergone total knee arthroplasty (TKA), limited literature focusing on long-term survival following TKA exists to date. As part of this investigation, a consecutive series of 78 TKAs in 56 patients with hemophilic arthropathy was reviewed. The mean patient age at the time of operation was 38.7 years old and the mean length of follow up was 10.2 years. Clinical and radiologic outcomes, quality of life, complications, and long-term survivorship of TKA were evaluated. At the latest point of follow up, the average American Knee Society (AKS) knee and function scores had improved from 32.1 to 85.7 points and 41.5 to 83.3 points, respectively. Moreover, the average range of motion (ROM) was significantly increased from 64.2° preoperatively to 84.2° postoperatively. The physical and mental Short Form-36 results were also significantly improved at the latest point of follow up. Postoperative complications appeared in 12 knees (15.4%). The readmission rate in the 30 days after discharge was 6.4%. Revision TKA was performed in three knees for periprosthetic joint infection (n = 2 knees) and tibial component loosening (n = 1 knee). The Kaplan–Meier 10- and 13-year prosthesis survival rates were 97.1% and 93.2%, respectively. The current study suggests that the mid-to long-term results of TKA in patients with hemophilic arthropathy are favorable, with successful long-term prosthesis survival achievable in most cases.

What is the role of cemented fixation in total knee arthroplasty? The two-year results of a randomized RSA controlled trial

2021 ◽  
Vol 103-B (1) ◽  
pp. 98-104 ◽  
Author(s):  
Bas van Ooij ◽  
Inger N. Sierevelt ◽  
Harm M. van der Vis ◽  
Daniël Hoornenborg ◽  
Daniël Haverkamp
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Controlled Trial ◽  
Hybrid Fixation ◽  
Term Survival ◽  
Long Term Survival ◽  
Significant Difference ◽  
Total Knee

Aims For many designs of total knee arthroplasty (TKA) it remains unclear whether cemented or uncemented fixation provides optimal long-term survival. The main limitation in most studies is a retrospective or non-comparative study design. The same is true for comparative trials looking only at the survival rate as extensive sample sizes are needed to detect true differences in fixation and durability. Studies using radiostereometric analysis (RSA) techniques have shown to be highly predictive in detecting late occurring aseptic loosening at an early stage. To investigate the difference in predicted long-term survival between cemented, uncemented, and hybrid fixation of TKA, we performed a randomized controlled trial using RSA. Methods A total of 105 patients were randomized into three groups (cemented, uncemented, and hybrid fixation of the ACS Mobile Bearing (ACS MB) knee system, implantcast). RSA examinations were performed on the first day after surgery and at scheduled follow-up visits at three months, six months, one year, and two years postoperatively. Patient-reported outcome measures (PROMs) were obtained preoperatively and after two years follow-up. Patients and follow-up investigators were blinded for the result of randomization. Results RSA secondary stabilization did not show a significant difference between the three types of fixation. A maximum total point motion of less than 0.2 mm in the second postoperative year was shown in each group, which suggests stabilization of the implant. At 24 months after surgery, PROMs significantly improved compared to baseline in all treatment groups. No significant difference was observed between the three groups. Conclusion Secondary stabilization measurements in this study demonstrated no significant difference between the groups. In all groups migration stabilized after initial settling of the implant. For this implant the long-term outcome is not expected to be influenced by the type of fixation to the bone. Cite this article: Bone Joint J 2021;103-B(1):98–104.

scholarly journals Long-term survival and radiological results of the Duracon™ total knee arthroplasty

2013 ◽  
Vol 38 (4) ◽  
pp. 747-752 ◽  
Author(s):  
Matthias Bachmann ◽  
Lilianna Bolliger ◽  
Thomas Ilchmann ◽  
Martin Clauss
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Term Survival ◽  
Long Term Survival ◽  
Radiological Results ◽  
Total Knee

scholarly journals Long-term result of a second or third two-stage revision total knee arthroplasty for infected total knee arthroplasty

Arthroplasty ◽  
2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Young-Hoo Kim ◽  
Jang-Won Park ◽  
Young-Soo Jang
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Recurrent Infection ◽  
Revision Total Knee Arthroplasty ◽  
Two Stage ◽  
Total Knee ◽  
The Mean ◽  
Revision Tka

Abstract Background Persistent or recurrent infection after two-stage revision total knee arthroplasty (TKA) for the treatment of an infected TKA is a dreaded complication. The purpose of the current study was to determine the ability of a second or third two-stage revision TKA to control infection, evaluate the long-term survivorship of the TKA prosthesis, and measure the functional outcome after a second or third two-stage revision TKA for reinfection. Methods We evaluated 63 patients (65 knees) with failed two-stage TKA treated with a second or a third two-stage revision TKA. There were 25 men and 38 women (mean age, 67 ± 10.2 years). The mean follow-up from the time of a second two-stage TKA revision was 15.1 years (range, 10 to 19 years) and the mean follow-up from the time of a third two-stage TKA revision was 7 years (range, 5 to 10 years). Results Overall, infection was successfully controlled in 49 (78%) of 65 knees after a second two-stage revision TKA was performed. In the remaining 16 knees, recurrent infection was successfully controlled in 12 knees (75%) after a third two-stage revision TKA. Survivorship, free of implant removal for recurrent infection, was 94% at 15.1 years (95% CI, 91 to 100%). Survival free of revision TKA for mechanical failure was 95% (95% CI, 92 to 100%). Conclusions The results of the current study suggest that a second or a third two-stage revision TKA is a reasonable option for controlling infection, relieving pain, and achieving a satisfactory level of function for patients with infected TKAs.

Superior long-term survival for fixed bearing compared with mobile bearing in ligament-balanced total knee arthroplasty

2017 ◽  
Vol 26 (5) ◽  
pp. 1524-1531 ◽  
Author(s):  
P. J. C. Heesterbeek ◽  
A. H. van Houten ◽  
J. S. Klenk ◽  
H. Eijer ◽  
B. Christen ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Mobile Bearing ◽  
Fixed Bearing ◽  
Term Survival ◽  
Long Term Survival ◽  
Total Knee

Long-term survival analysis of posterior cruciate-retaining total knee arthroplasty

2011 ◽  
Vol 20 (9) ◽  
pp. 1760-1765 ◽  
Author(s):  
Lin Guo ◽  
Liu Yang ◽  
Jean Louis Briard ◽  
Xiao-jun Duan ◽  
Fu-you Wang
Keyword(s):  
Total Knee Arthroplasty ◽  
Survival Analysis ◽  
Knee Arthroplasty ◽  
Term Survival ◽  
Long Term Survival ◽  
Cruciate Retaining ◽  
Total Knee
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