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MUSCULOSKELETAL SURGERY

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Open Access 19-10-2021 | Endoprosthesis | Original Article

Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses

Authors: P. Lisý, J. Čabala, M. Hrubina, M. Melišík, L. Nečas

Published in: MUSCULOSKELETAL SURGERY | Issue 1/2023

Abstract

Background

Aim of this study was to compare functional results within 36 months following primary total knee arthroplasty (TKA) using a conventional prosthesis Multigen Plus CR and a new Physica KR implant. Our hypothesis was that the use of the Kinematics-Retaining design of an TKA implant leads to a significantly greater improvement in the active range of motion and better functional results (KSS 1, KSS 2 and WOMAC score) than the conventional CR implant at short-term follow-up.

Materials and methods

We retrospectively analysed data of 234 patients who underwent primary TKA at our hospital from April 2010 to August 2015 with the CR type of implant and from July 2014 to August 2015 with the KR implant due to advanced knee arthrosis of IIIrd and IVth grade of Kellgren-Lawrence classification, with no major ligamentous instability. Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, Knee Society Scores 1 (KSS 1) and 2 (KSS 2) and flexion (AROM) were recorded preoperatively and at 6, 12 and 36 months after surgery.

Results

Our study showed a statistically significant difference in functional results at three years with better KSS 1 score, a tendency to higher values in the KSS 2 score, as well as a statistically significant overall improvement in AROM in favour of the new KR design over the conventional CR implant with a post-hoc power analysis of 83.8%. We found that there was no statistically significant difference between groups when comparing WOMAC score and complications at short-term follow-up.

Conclusions

Our study provided more favourable clinical results for using Kinematics-Retaining implant in primary TKA. Further studies should focus on radiological and functional outcomes from mid- to long-term follow-up.

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Title: Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses
Authors: P. Lisý
J. Čabala
M. Hrubina
M. Melišík
L. Nečas
Publication date: 19-10-2021
Publisher: Springer Milan
Keyword: Endoprosthesis
Published in: MUSCULOSKELETAL SURGERY / Issue 1/2023
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-021-00730-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Comparison of short-time functional outcomes after TKA between Multigen Plus CR and Physica KR prostheses

Abstract

Background

Materials and methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusions

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