Top

International Orthopaedics

Published in:

01-11-2021 | Original Paper

Mid-term clinical outcomes and survivorship of medial-pivot total knee arthroplasty—a mean five year follow-up based on one thousand, one hundred and twenty eight cases

Authors: Shuai Xiang, Yingzhen Wang, Chengyu Lv, Changyao Wang, Haining Zhang

Published in: International Orthopaedics | Issue 11/2021

Abstract

Purpose

The unique medial-pivot (MP) design of ADVANCE® system largely simulates the movement of a normal knee joint and a high mid- and long-term success rate has been reported in limited populations. The aims of this study are to investigate the mid-term clinical outcomes and survivorship based on a large cohort with 1128 cases.

Methods

One thousand seven patients received 1276 ADVANCE® MP TKAs from January 2011 to April 2016 in our institution were retrospectively investigated. The range of motion (ROM), the Knee Society Score (KSS), the Knee Society Function Score (KSFS), the Western Ontario and McMaster Universities Arthritis Index (WOMAC) score, and the Forgotten Joint Score (FJS) were used to evaluate clinical outcomes and Kaplan-Meier survival curve was used to calculate the survivorship.

Results

In an averaged five year follow-up, the results of 879 patients (1128 knees) were successfully obtained and the clinical outcomes of 1107 knees were recorded. One hundred forty-eight knees (11.6%) were lost to follow-up. Excellent mid-term ROM, KSS, KSFS, and WOMAC score were recorded. A total of 53 complications were identified and most complications were related to the discordance of femoropatellar joint. Taking revision for any reason as end point, the overall survivorship was 99.2% at seven years. When taking all cases lost to follow-up as failures, the survivorship was 83.8% at five years and 50.6% at seven years.

Conclusion

For MP designs, the intermediate clinical outcomes are good to excellent and the mid-term survivorship related to reasons other than infection is also satisfactory.

Available only for authorised users

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):598–603. https://doi.org/10.2106/JBJS.C.00591CrossRefPubMed

Papasoulis E, Karachalios T (2019) A 13- to 16-year clinical and radiological outcome study of the genesis II cruciate retaining total knee arthroplasty with an oxidised zirconium femoral component. Knee 26(2):492–499. https://doi.org/10.1016/j.knee.2019.01.013CrossRefPubMed

Kremers HM, Sierra RJ, Schleck CD, Berry DJ, Cabanela ME, Hanssen AD, Pagnano MW, Trousdale RT, Lewallen DG (2014) Comparative survivorship of different tibial designs in primary total knee arthroplasty. J Bone Joint Surg Am 96(14):e121. https://doi.org/10.2106/JBJS.M.00820CrossRefPubMed

Feng B, Weng X, Lin J, Jin J, Wang W, Qiu G (2013) Long-term follow-up of cemented fixed-bearing total knee arthroplasty in a Chinese population: a survival analysis of more than 10 years. J Arthroplast 28(10):1701–1706. https://doi.org/10.1016/j.arth.2013.03.009CrossRef

Schmidt R, Komistek RD, Blaha JD, Penenberg BL, Maloney WJ (2003) Fluoroscopic analyses of cruciate-retaining and medial pivot knee implants. Clin Orthop Relat Res 410:139–147. https://doi.org/10.1097/01.blo.0000063565.90853.a4CrossRef

Miyazaki Y, Nakamura T, Kogame K, Saito M, Yamamoto K, Suguro T (2011) Analysis of the kinematics of total knee prostheses with a medial pivot design. J Arthroplast 26(7):1038–1044. https://doi.org/10.1016/j.arth.2010.08.015CrossRef

Ansari F, Ries MD, Pruitt L (2016) Effect of processing, sterilization and crosslinking on UHMWPE fatigue fracture and fatigue wear mechanisms in joint arthroplasty. J Mech Behav Biomed Mater 53:329–340. https://doi.org/10.1016/j.jmbbm.2015.08.026CrossRefPubMed

Shu L, Yamamoto K, Kai S, Inagaki J, Sugita N (2019) Symmetrical cruciate-retaining versus medial pivot prostheses: the effect of intercondylar sagittal conformity on knee kinematics and contact mechanics. Comput Biol Med 108:101–110. https://doi.org/10.1016/j.compbiomed.2019.03.005CrossRefPubMed

Minoda Y, Kobayashi A, Iwaki H, Miyaguchi M, Kadoya Y, Ohashi H, Yamano Y, Takaoka K (2003) Polyethylene wear particles in synovial fluid after total knee arthroplasty. Clin Orthop Relat Res 410:165–172. https://doi.org/10.1097/01.blo.0000063122.39522.c2CrossRef

10.

Karachalios T, Varitimidis S, Bargiotas K, Hantes M, Roidis N, Malizos KN (2016) An 11- to 15-year clinical outcome study of the Advance Medial Pivot total knee arthroplasty: pivot knee arthroplasty. Bone Joint J 98-B(8):1050–1055. https://doi.org/10.1302/0301-620X.98B8.36208CrossRefPubMed

11.

Castellarin G, Pianigiani S, Innocenti B (2019) Asymmetric polyethylene inserts promote favorable kinematics and better clinical outcome compared to symmetric inserts in a mobile bearing total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 27(4):1096–1105. https://doi.org/10.1007/s00167-018-5207-9CrossRefPubMed

12.

Fan CY, Hsieh JT, Hsieh MS, Shih YC, Lee CH (2010) Primitive results after medial-pivot knee arthroplasties: a minimum 5-year follow-up study. J Arthroplast 25(3):492–496. https://doi.org/10.1016/j.arth.2009.05.008CrossRef

13.

Kim YH, Yoon SH, Kim JS (2009) Early outcome of TKA with a medial pivot fixed-bearing prosthesis is worse than with a PFC mobile-bearing prosthesis. Clin Orthop Relat Res 467(2):493–503. https://doi.org/10.1007/s11999-008-0221-8CrossRefPubMed

14.

Kim YH, Park JW, Kim JS (2017) Clinical outcome of medial pivot compared with press-fit condylar sigma cruciate-retaining mobile-bearing total knee arthroplasty. J Arthroplast 32(10):3016–3023. https://doi.org/10.1016/j.arth.2017.05.022CrossRef

15.

Fitch DA, Sedacki K, Yang Y (2014) Mid- to long-term outcomes of a medial-pivot system for primary total knee replacement: a systematic review and meta-analysis. Bone Joint Res 3(10):297–304. https://doi.org/10.1302/2046-3758.310.2000290CrossRefPubMedPubMedCentral

16.

Chinzei N, Ishida K, Tsumura N, Matsumoto T, Kitagawa A, Iguchi T, Nishida K, Akisue T, Kuroda R, Kurosaka M (2014) Satisfactory results at 8 years mean follow-up after ADVANCE(R) medial-pivot total knee arthroplasty. Knee 21(2):387–390. https://doi.org/10.1016/j.knee.2013.10.005CrossRefPubMed

17.

Karachalios T, Roidis N, Giotikas D, Bargiotas K, Varitimidis S, Malizos KN (2009) A mid-term clinical outcome study of the Advance Medial Pivot knee arthroplasty. Knee 16(6):484–488. https://doi.org/10.1016/j.knee.2009.03.002CrossRefPubMed

18.

Youm YS, Cho SD, Lee SH, Cho HY (2014) Total knee arthroplasty using a posterior cruciate ligament sacrificing medial pivot knee: minimum 5-year follow-up results. Knee Surg Relat Res 26(3):135–140. https://doi.org/10.5792/ksrr.2014.26.3.135CrossRefPubMedPubMedCentral

19.

Ishida K, Matsumoto T, Tsumura N, Iwakura T, Kubo S, Iguchi T, Akisue T, Nishida K, Kurosaka M, Kuroda R (2014) No difference between double-high insert and medial-pivot insert in TKA. Knee Surg Sports Traumatol Arthrosc 22(3):576–580. https://doi.org/10.1007/s00167-012-2314-xCrossRefPubMed

20.

Vecchini E, Christodoulidis A, Magnan B, Ricci M, Regis D, Bartolozzi P (2012) Clinical and radiologic outcomes of total knee arthroplasty using the Advance Medial Pivot prosthesis. A mean 7 years follow-up. Knee 19(6):851–855. https://doi.org/10.1016/j.knee.2012.04.002CrossRefPubMed

21.

Samy DA, Wolfstadt JI, Vaidee I, Backstein DJ (2018) A retrospective comparison of a medial pivot and posterior-stabilized total knee arthroplasty with respect to patient-reported and radiographic outcomes. J Arthroplast 33(5):1379–1383. https://doi.org/10.1016/j.arth.2017.11.049CrossRef

22.

Hiyama Y, Wada O, Nakakita S, Mizuno K (2016) Joint awareness after total knee arthroplasty is affected by pain and quadriceps strength. Orthop Traumatol Surg Res 102(4):435–439. https://doi.org/10.1016/j.otsr.2016.02.007CrossRefPubMed

23.

Chinzei N, Ishida K, Matsumoto T, Kuroda Y, Kitagawa A, Kuroda R, Akisue T, Nishida K, Kurosaka M, Tsumura N (2014) Evaluation of patellofemoral joint in ADVANCE Medial-pivot total knee arthroplasty. Int Orthop 38(3):509–515. https://doi.org/10.1007/s00264-013-2043-xCrossRefPubMed

24.

Ishida K, Matsumoto T, Tsumura N, Chinzei N, Kitagawa A, Kubo S, Chin T, Iguchi T, Akisue T, Nishida K, Kurosaka M, Kuroda R (2012) In vivo comparisons of patellofemoral kinematics before and after ADVANCE medial-pivot total knee arthroplasty. Int Orthop 36(10):2073–2077. https://doi.org/10.1007/s00264-012-1634-2CrossRefPubMedPubMedCentral

25.

Kitagawa A, Ishida K, Chin T, Tsumura N, Iguchi T (2014) Partial restoration of knee kinematics in severe valgus deformity using the medial-pivot total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 22(7):1599–1606. https://doi.org/10.1007/s00167-012-2315-9CrossRefPubMed

26.

Bordini B, Ancarani C, Fitch DA (2016) Long-term survivorship of a medial-pivot total knee system compared with other cemented designs in an arthroplasty registry. J Orthop Surg Res 11:44. https://doi.org/10.1186/s13018-016-0388-8CrossRefPubMedPubMedCentral

27.

Macheras GA, Galanakos SP, Lepetsos P, Anastasopoulos PP, Papadakis SA (2017) A long term clinical outcome of the Medial Pivot Knee Arthroplasty System. Knee 24(2):447–453. https://doi.org/10.1016/j.knee.2017.01.008CrossRefPubMed

28.

Joshi AB, Gill GS, Smith PL (2003) Outcome in patients lost to follow-up. J Arthroplast 18(2):149–153. https://doi.org/10.1054/arth.2003.50061CrossRef

Title: Mid-term clinical outcomes and survivorship of medial-pivot total knee arthroplasty—a mean five year follow-up based on one thousand, one hundred and twenty eight cases
Authors: Shuai Xiang
Yingzhen Wang
Chengyu Lv
Changyao Wang
Haining Zhang
Publication date: 01-11-2021
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 11/2021
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-05017-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Mid-term clinical outcomes and survivorship of medial-pivot total knee arthroplasty—a mean five year follow-up based on one thousand, one hundred and twenty eight cases

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 11/2021

Surgical hip dislocation for treatment of synovial chondromatosis of the hip

Research trends of platelet-rich plasma application in orthopaedics from 2002 to 2020: a bibliometric analysis

Accuracy of acetabular cup placement positively correlates with level of training

Letter to the Editor concerning “Pulsed electromagnetic fields after intramedullary nailing of tibial fractures: a case control study”

Outcomes of patients with unexpected diagnosis of infection at total hip or total knee arthroplasty revisions

A prospective study to compare the operative outcomes of minimally invasive proximal and distal chevron metatarsal osteotomy for moderate-to-severe hallux valgus deformity