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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2014

01-03-2014 | Knee

No difference between double-high insert and medial-pivot insert in TKA

Authors: Kazunari Ishida, Tomoyuki Matsumoto, Nobuhiro Tsumura, Takashi Iwakura, Seiji Kubo, Tetsuhiro Iguchi, Toshihiro Akisue, Kotaro Nishida, Masahiro Kurosaka, Ryosuke Kuroda

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 3/2014

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Abstract

Purpose

To compare the clinical midterm results in ADVANCE total knee arthroplasty (TKA) with double-high (DH) insert, with same type implant with medial-pivot (MP) insert.

Method

Forty ADVANCE TKAs were randomly divided into two groups, and two different design insert, DH insert, and MP insert were used in each group. At midterm, 4–5 years after surgery, Knee Society Scores (KSS), Knee Society Functional Scores (KSFS), range of motion (ROM), and UCLA activity score were assessed and reported in this study.

Results

Midterm clinical results, including ROM and KSS, were comparable with both groups. KSFS and UCLA activity score were equally good between the two groups.

Conclusion

The results in this study revealed equally good clinical results with these types of implants at midterm follow-up, although the significant better ROM has not achieved by using DH insert. We concluded that the selection of inserts only could not achieve the better clinical results, including ROM and activity level in this study.

Level of evidence

Therapeutic studies—investigating the results of treatment, Level II.
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Metadata
Title
No difference between double-high insert and medial-pivot insert in TKA
Authors
Kazunari Ishida
Tomoyuki Matsumoto
Nobuhiro Tsumura
Takashi Iwakura
Seiji Kubo
Tetsuhiro Iguchi
Toshihiro Akisue
Kotaro Nishida
Masahiro Kurosaka
Ryosuke Kuroda
Publication date
01-03-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 3/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2314-x

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