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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2021

01-11-2021 | Knee-TEP | KNEE

No difference in 13-year survival after medial pivot or central pivot mobile bearing total knee arthroplasty. A propensity matched comparative analysis

Authors: Jean-Yves Jenny, Michel Bercovy, Alain Cazenave, Thierry Gaillard, Frédéric Châtain, Brigitt e Jolles, Jean-Louis Rouvillain, Dominique Saragaglia, French Society for Hip and Knee Surgery (SFHG)

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 11/2021

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Abstract

Purpose

The present study was designed to evaluate the long-term results (more than 10 years) of mobile bearing total knee arthroplasty (TKA) and to compare the survival of medial pivot axis (MPA) and central pivot axis (CPA) TKAs. The primary hypothesis was that the 10- to 15-year survival rate of MPA TKAs will be better than CPA TKAs.

Methods

A national, multicenter, retrospective study was performed in France. In this case–control design, 1154 TKAs were paired into the CPA group (control group: 577 cases) and MPA group (study group: 577 cases) based on a logistic regression analysis of age, gender, body mass index and severity of the coronal deformity, defining the propensity score for each case. Final survival information follow-up was obtained for 946 cases (82%).

Results

There was no significant difference between the control and study groups for any baseline data. Twenty-two prosthetic revisions (2%) were performed for mechanical reasons during the follow-up period. There was no significant difference between the 13-year survival rates of CPA (98%) and MPA (97%) TKAs. There was no significant difference between groups in their final Oxford and Knee Society scores.

Conclusion

Our findings do not support the assumption that medialization of the pivot axis of a mobile bearing TKA improves clinical results or survival.

Level of evidence

Level III.
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Metadata
Title
No difference in 13-year survival after medial pivot or central pivot mobile bearing total knee arthroplasty. A propensity matched comparative analysis
Authors
Jean-Yves Jenny
Michel Bercovy
Alain Cazenave
Thierry Gaillard
Frédéric Châtain
Brigitt e Jolles
Jean-Louis Rouvillain
Dominique Saragaglia
French Society for Hip and Knee Surgery (SFHG)
Publication date
01-11-2021
Publisher
Springer Berlin Heidelberg
Keywords
Knee-TEP
Knee-TEP
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 11/2021
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-020-06355-0

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