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Archives of Orthopaedic and Trauma Surgery

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Open Access 09-09-2021 | Endoprosthesis | Knee Arthroplasty

10-year follow-up of the Columbus knee prostheses system in a prospective multicenter study

Authors: Andreas Fuchs, Philip Häussermann, Dirk Hömig, Björn Gunnar Ochs, Tim Klopfer, Christof A. Müller, Peter Helwig, Lukas Konstantinidis

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 10/2022

Abstract

Introduction

As endpoint of a prospective multicenter 10-year documentation using the Columbus system, this evaluation carried out results of clinical scores (Knee Society Score and Oxford Knee Score), an evaluation of radiological imaging, survival rates and a collection of complication statistics.

Materials and methods

There was a multicenter prospective recruitment of consecutive patients with the indication for total knee replacement (TKR). Preoperatively and 10 years after implantation, clinical scores, range of motion and radiological imaging was performed. During this period, a detailed documentation of complications was made.

Results

A total of 210 patients were recruited in 5 centers. 140 patients were available for endpoint examination 10 years after surgery. A survival rate of 96.6% (CI 95%) for the implanted Columbus prostheses after 10 years was demonstrated. Cumulative KSS showed an improvement of 75.3 (± 38.1) points and was highly significant (p < 0.0001, t test). The average functional improvement in the Oxford score was 20.6 (± 9.5) points and was also highly significant (p < 0.0001). The ROM improved from 106.5° (± 20.5) preoperatively to 116.0° (± 11.5) (p < 0.0001, t test). There were no implant-related complications as well as no new complication documented between 5- and 10-year follow-up.

Conclusions

The endpoint analysis after an observation period of 10 years provided good clinical and radiographic results. In particular, an excellent survival rate of 96.6% after 10 years was demonstrated. The data published in this study are the first to be available in a prospective multicenter study on this system, which leads to a high level of clinical significance.

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Title: 10-year follow-up of the Columbus knee prostheses system in a prospective multicenter study
Authors: Andreas Fuchs
Philip Häussermann
Dirk Hömig
Björn Gunnar Ochs
Tim Klopfer
Christof A. Müller
Peter Helwig
Lukas Konstantinidis
Publication date: 09-09-2021
Publisher: Springer Berlin Heidelberg
Keywords: Endoprosthesis
Knee-TEP
Knee-TEP
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 10/2022
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-021-04156-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

10-year follow-up of the Columbus knee prostheses system in a prospective multicenter study

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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