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Published in: Clinical Orthopaedics and Related Research® 11/2008

Open Access 01-11-2008 | Symposium: Papers Presented at the Annual Meetings of the Knee Society

The Classic: Total Condylar Knee Replacement in Patients Who Have Rheumatoid Arthritis. A Ten-Year Follow-Up Study

Author: Richard S. Laskin, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2008

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Abstract

Eighty knee replacements with a total condylar prosthesis in patients who had rheumatoid arthritis were followed for ten years. At ten years, nineteen knees needed revision and sixty-one prostheses were still functioning. The major reasons for revision were loosening of the tibial component or late bacteremic seeding from another site. Radiolucency at the bone-cement interface adjacent to the tibial component was statistically related to malposition of the tibial component. According to the system of The Hospital for Special Surgery, the mean scores were 64 points preoperatively and 85 points postoperatively. Synovitis recurred in only 3 per cent of the knees. When revision, pain, or radiographic evidence of loosening were considered an indication of failure, the ten-year cumulative survival was 75 per cent.
Literature
1.
go back to reference Dorey, F., and Amstutz, H. C.: Survivorship Analysis in the Evaluation of Joint Replacement. J. Arthroplasty, 1: 63–69, 1986.PubMedCrossRef Dorey, F., and Amstutz, H. C.: Survivorship Analysis in the Evaluation of Joint Replacement. J. Arthroplasty, 1: 63–69, 1986.PubMedCrossRef
2.
go back to reference Ewald, F. C.; Hsu, H. P.; and Walker, P. S.: Is Kinematic Total Knee Replacement Better than Total Hip Replacement? Orthop. Clin. North America, 20: 79–88, 1989. Ewald, F. C.; Hsu, H. P.; and Walker, P. S.: Is Kinematic Total Knee Replacement Better than Total Hip Replacement? Orthop. Clin. North America, 20: 79–88, 1989.
3.
go back to reference Goldberg, V. M.; Figgie, M. P.; Figgie, H. E., III; Heiple, K. G.; Sobel, Mark: Use of a Total Condylar Knee Prosthesis for Treatment of Osteoarthritis and Rheumatoid Arthritis. Long-Term Results. J. Bone and Joint Surg., 70-A: 802–811, July 1988. Goldberg, V. M.; Figgie, M. P.; Figgie, H. E., III; Heiple, K. G.; Sobel, Mark: Use of a Total Condylar Knee Prosthesis for Treatment of Osteoarthritis and Rheumatoid Arthritis. Long-Term Results. J. Bone and Joint Surg., 70-A: 802–811, July 1988.
4.
go back to reference Gomes, L. S. M.; Bechtold, J. E.; and Gustilo, R. B.: Patellar Prosthesis Positioning in Total Knee Arthroplasty. A Roentgenographic Study. Clin. Orthop., 236: 72–81, 1988.PubMed Gomes, L. S. M.; Bechtold, J. E.; and Gustilo, R. B.: Patellar Prosthesis Positioning in Total Knee Arthroplasty. A Roentgenographic Study. Clin. Orthop., 236: 72–81, 1988.PubMed
5.
go back to reference Hvid, Ivan; Kjaersgaard-Andersen, Per; Wethelund, J.-O.; and Sneppen, Otto: Knee Arthroplasty in Rheumatoid Arthritis. Four- to Six-Year Follow-up Study. J. Arthroplasty, 2: 233–239, 1987.PubMedCrossRef Hvid, Ivan; Kjaersgaard-Andersen, Per; Wethelund, J.-O.; and Sneppen, Otto: Knee Arthroplasty in Rheumatoid Arthritis. Four- to Six-Year Follow-up Study. J. Arthroplasty, 2: 233–239, 1987.PubMedCrossRef
6.
go back to reference Insall, J. N.; and Kelly, Michael: The Total Condylar Prosthesis. Clin. Orthop., 205: 43–48, 1986.PubMed Insall, J. N.; and Kelly, Michael: The Total Condylar Prosthesis. Clin. Orthop., 205: 43–48, 1986.PubMed
7.
go back to reference Insall, J.; Scott, W. N.; and Ranawat, C. S.: The Total Condylar Knee Prosthesis. A Report of Two Hundred and Twenty Cases. J. Bone and Joint Surg., 61-A: 173–180, March 1979. Insall, J.; Scott, W. N.; and Ranawat, C. S.: The Total Condylar Knee Prosthesis. A Report of Two Hundred and Twenty Cases. J. Bone and Joint Surg., 61-A: 173–180, March 1979.
8.
go back to reference Insall, J. N.; Hoot, R. W.; Flawn, L. B.; and Sullivan, D. J.: The Total Condylar Knee Prosthesis in Gonarthrosis. A Five to Nine-Year Follow-up of the First One Hundred Consecutive Replacements. J. Bone and Joint Surg., 65-A: 619–628, 1983. Insall, J. N.; Hoot, R. W.; Flawn, L. B.; and Sullivan, D. J.: The Total Condylar Knee Prosthesis in Gonarthrosis. A Five to Nine-Year Follow-up of the First One Hundred Consecutive Replacements. J. Bone and Joint Surg., 65-A: 619–628, 1983.
9.
go back to reference Insall, John; Ranawat, C. S.; Scott, W. N.; and Walker, Peter: Total Condylar Knee Replacement. Preliminary Report. Clin. Orthop., 120: 149–154, 1976.PubMed Insall, John; Ranawat, C. S.; Scott, W. N.; and Walker, Peter: Total Condylar Knee Replacement. Preliminary Report. Clin. Orthop., 120: 149–154, 1976.PubMed
10.
go back to reference Kaplan, E. L.; and Meier, Paul: Nonparametric Estimation from Incomplete Observations. J. Am. Statist. Assn. 53: 457–481, 1958.CrossRef Kaplan, E. L.; and Meier, Paul: Nonparametric Estimation from Incomplete Observations. J. Am. Statist. Assn. 53: 457–481, 1958.CrossRef
11.
go back to reference Kjaersgaard-Andersen, P.; Hvid, I.; Wethelund, J. O.; and Sneppen, O.: Total Condylar Knee Arthroplasty in Osteoarthritis. A Four- to Six-Year Follow-up Evaluation of 103 Cases. Clin. Orthop., 238: 167–173, 1989.PubMed Kjaersgaard-Andersen, P.; Hvid, I.; Wethelund, J. O.; and Sneppen, O.: Total Condylar Knee Arthroplasty in Osteoarthritis. A Four- to Six-Year Follow-up Evaluation of 103 Cases. Clin. Orthop., 238: 167–173, 1989.PubMed
12.
go back to reference Knutson, Kaj; Lindstrand, Anders; and Lidgren, Lars: Survival of Knee Arthroplasties. A Nation-Wide Multicentre Investigation of 8000 Cases. J. Bone and Joint Surg., 68-B(5): 795–803, 1986. Knutson, Kaj; Lindstrand, Anders; and Lidgren, Lars: Survival of Knee Arthroplasties. A Nation-Wide Multicentre Investigation of 8000 Cases. J. Bone and Joint Surg., 68-B(5): 795–803, 1986.
13.
go back to reference Laskin, R. S.: Total Condylar Knee Replacement in Rheumatoid Arthritis. A Review of One Hundred and Seventeen Knees. J. Bone and Joint Surg., 63-A: 29–35, Jan. 1981. Laskin, R. S.: Total Condylar Knee Replacement in Rheumatoid Arthritis. A Review of One Hundred and Seventeen Knees. J. Bone and Joint Surg., 63-A: 29–35, Jan. 1981.
14.
go back to reference Laskin, R. S.: Replacement of the Knee. New York, Springer, 1984. Laskin, R. S.: Replacement of the Knee. New York, Springer, 1984.
15.
go back to reference Laskin, R. S.: Total Condylar Knee Replacement in Rheumatoid Arthritis. Read at the Annual Meeting of The American Academy of Orthopaedic Surgeons, San Francisco, California, Feb. 24, 1979. Laskin, R. S.: Total Condylar Knee Replacement in Rheumatoid Arthritis. Read at the Annual Meeting of The American Academy of Orthopaedic Surgeons, San Francisco, California, Feb. 24, 1979.
16.
go back to reference Lotke, P. A.; and Ecker, M. L.: Influence of Positioning of Prosthesis in Total Knee Replacement. J. Bone and Joint Surg., 59-A: 77–79, 1977. Lotke, P. A.; and Ecker, M. L.: Influence of Positioning of Prosthesis in Total Knee Replacement. J. Bone and Joint Surg., 59-A: 77–79, 1977.
17.
go back to reference Ranawat, C. S.: The Patellofemoral Joint in Total Condylar Knee Arthroplasty. Pros and Cons Based on Five- to Ten-Year Follow-up Observations. Clin. Orthop., 205: 93–99, 1986.PubMed Ranawat, C. S.: The Patellofemoral Joint in Total Condylar Knee Arthroplasty. Pros and Cons Based on Five- to Ten-Year Follow-up Observations. Clin. Orthop., 205: 93–99, 1986.PubMed
18.
go back to reference Ranawat, C. S.; and Boachie-Adjei, O.: Survivorship Analysis and Results of Total Condylar Knee Arthroplasty. Eight- to 11-Year Follow-up Period. Clin. Orthop., 226: 6–13, 1988.PubMed Ranawat, C. S.; and Boachie-Adjei, O.: Survivorship Analysis and Results of Total Condylar Knee Arthroplasty. Eight- to 11-Year Follow-up Period. Clin. Orthop., 226: 6–13, 1988.PubMed
19.
go back to reference Ranawat, C. S.; Rose, H. A.; and Bryan, W. J.: Replacement of the Patellofemoral Joint with the Total Condylar Knee Arthroplasty. Internat. Orthop., 8: 61–65, 1984.CrossRef Ranawat, C. S.; Rose, H. A.; and Bryan, W. J.: Replacement of the Patellofemoral Joint with the Total Condylar Knee Arthroplasty. Internat. Orthop., 8: 61–65, 1984.CrossRef
20.
go back to reference Tew, M.; and Waugh, W.: Estimating the Survival Time of Knee Replacements. J. Bone and Joint Surg., 64-B(5): 579–582, 1982. Tew, M.; and Waugh, W.: Estimating the Survival Time of Knee Replacements. J. Bone and Joint Surg., 64-B(5): 579–582, 1982.
Metadata
Title
The Classic: Total Condylar Knee Replacement in Patients Who Have Rheumatoid Arthritis. A Ten-Year Follow-Up Study
Author
Richard S. Laskin, MD
Publication date
01-11-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 11/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0462-6

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