Skip to main content
Top
Published in: International Orthopaedics 2/2009

01-04-2009 | Original Paper

Follow-up of 11–16 years after modular fixed-bearing TKA

Authors: D. Parsch, M. Krüger, M. T. Moser, F. Geiger

Published in: International Orthopaedics | Issue 2/2009

Login to get access

Abstract

To present representative data of long-term survivorship and clinical outcome for the PFC total knee arthroplasty (PFC-TKA). A consecutive series of 141 TKA was followed for a mean of 13 years (range, 11–16 years). Sixty-five knees were evaluated, 30 of these clinically and radiographically. Twenty-eight knees could only be assessed with the use of a questionnaire. Six patients were living in nursing homes. Fifty-four patients (65 knees) had died. Eleven had undergone a revision. One patient was considered lost to follow-up. With re-operation for any reason as the endpoint, the 10-year survival rate was 92% (n = 91 patients at risk), and the 14-year survival rate was 91% (n = 12). With aseptic loosening of the implant as the endpoint, the 10- and 14-year survival rates were 97%. The mean Knee Society and function scores were 76 and 48 points, respectively. In this multi-surgeon series modular fixed-bearing TKA had good clinical and radiographic results with excellent long-term survivorship.
Literature
1.
go back to reference Archibeck MJ, White RE Jr (2006) What’s new in adult reconstructive knee surgery. J Bone Joint Surg Am 88(7):1677–1686PubMedCrossRef Archibeck MJ, White RE Jr (2006) What’s new in adult reconstructive knee surgery. J Bone Joint Surg Am 88(7):1677–1686PubMedCrossRef
2.
go back to reference Buechel FF Sr (2002) Long-term followup after mobile-bearing total knee replacement. Clin Orthop Relat Res 404:40–50PubMedCrossRef Buechel FF Sr (2002) Long-term followup after mobile-bearing total knee replacement. Clin Orthop Relat Res 404:40–50PubMedCrossRef
3.
go back to reference Dawson J, Fitzpatrick R, Murray D, Carr A (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br 80(1):63–69PubMedCrossRef Dawson J, Fitzpatrick R, Murray D, Carr A (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg Br 80(1):63–69PubMedCrossRef
4.
go back to reference Dawson J, Fitzpatrick R, Murray D, Carr A (2006) A response to issues raised in a recent paper concerning the Oxford knee score. Knee 13(1):66–68PubMedCrossRef Dawson J, Fitzpatrick R, Murray D, Carr A (2006) A response to issues raised in a recent paper concerning the Oxford knee score. Knee 13(1):66–68PubMedCrossRef
5.
go back to reference Devane PA, Horne JG, Martin K, Coldham G, Krause B (1997) Three-dimensional polyethylene wear of a press-fit titanium prosthesis. Factors influencing generation of polyethylene debris. J Arthroplasty 12(3):256–266PubMedCrossRef Devane PA, Horne JG, Martin K, Coldham G, Krause B (1997) Three-dimensional polyethylene wear of a press-fit titanium prosthesis. Factors influencing generation of polyethylene debris. J Arthroplasty 12(3):256–266PubMedCrossRef
6.
go back to reference Dixon MC, Brown RR, Parsch D, Scott RD (2005) Modular fixed-bearing total knee arthroplasty with retention of the posterior cruciate ligament. A study of patients followed for a minimum of fifteen years. J Bone Joint Surg Am 87(3):598–603PubMedCrossRef Dixon MC, Brown RR, Parsch D, Scott RD (2005) Modular fixed-bearing total knee arthroplasty with retention of the posterior cruciate ligament. A study of patients followed for a minimum of fifteen years. J Bone Joint Surg Am 87(3):598–603PubMedCrossRef
7.
go back to reference Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed
8.
go back to reference Meding JB, Keating EM (2001) Overview: long-term followup: predicting the success of a total knee arthroplasty. Clin Orthop Relat Res 388:7–9PubMedCrossRef Meding JB, Keating EM (2001) Overview: long-term followup: predicting the success of a total knee arthroplasty. Clin Orthop Relat Res 388:7–9PubMedCrossRef
9.
go back to reference Ranawat CS, Flynn WF Jr, Saddler S, Hansraj KK, Maynard MJ (1993) Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop Relat Res 286:94–102PubMed Ranawat CS, Flynn WF Jr, Saddler S, Hansraj KK, Maynard MJ (1993) Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop Relat Res 286:94–102PubMed
10.
go back to reference Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS (2003) Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am 85-A(2):259–265PubMed Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS (2003) Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am 85-A(2):259–265PubMed
11.
go back to reference Ritter MA, Berend ME, Meding JB, Keating EM, Faris PM, Crites BM (2001) Long-term followup of anatomic graduated components posterior cruciate-retaining total knee replacement. Clin Orthop Relat Res 388:51–57PubMedCrossRef Ritter MA, Berend ME, Meding JB, Keating EM, Faris PM, Crites BM (2001) Long-term followup of anatomic graduated components posterior cruciate-retaining total knee replacement. Clin Orthop Relat Res 388:51–57PubMedCrossRef
12.
go back to reference Schai PA, Thornhill TS, Scott RD (1998) Total knee arthroplasty with the PFC system. Results at a minimum of ten years and survivorship analysis. J Bone Joint Surg [Br] 80(5):850–858CrossRef Schai PA, Thornhill TS, Scott RD (1998) Total knee arthroplasty with the PFC system. Results at a minimum of ten years and survivorship analysis. J Bone Joint Surg [Br] 80(5):850–858CrossRef
13.
go back to reference Tarkin IS, Bridgeman JT, Jardon OM, Garvin KL (2005) Successful biologic fixation with mobile-bearing total knee arthroplasty. J Arthroplasty 20(4):481–486PubMedCrossRef Tarkin IS, Bridgeman JT, Jardon OM, Garvin KL (2005) Successful biologic fixation with mobile-bearing total knee arthroplasty. J Arthroplasty 20(4):481–486PubMedCrossRef
14.
go back to reference Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ (2006) The Chitranjan Ranawat Award: long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop Relat Res 452:28–34PubMedCrossRef Vessely MB, Whaley AL, Harmsen WS, Schleck CD, Berry DJ (2006) The Chitranjan Ranawat Award: long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop Relat Res 452:28–34PubMedCrossRef
Metadata
Title
Follow-up of 11–16 years after modular fixed-bearing TKA
Authors
D. Parsch
M. Krüger
M. T. Moser
F. Geiger
Publication date
01-04-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 2/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0543-x

Other articles of this Issue 2/2009

International Orthopaedics 2/2009 Go to the issue