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Published in: International Orthopaedics 12/2014

Open Access 01-12-2014 | Original Paper

Midterm clinical and radiographic results of the medial pivot total knee system

Authors: Robert Schmidt, Steven Ogden, J. David Blaha, Angelia Alexander, David A. Fitch, C. Lowry Barnes

Published in: International Orthopaedics | Issue 12/2014

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Abstract

Purpose

The ADVANCE® Medial Pivot Knee System was designed with a highly congruent medial compartment and a less conforming lateral compartment to more closely mimic the kinematics of the normal knee. The purpose of this study was to evaluate the midterm clinical and radiographic outcomes of this total knee arthroplasty (TKA) system.

Methods

Between January 1998 and December 2006, 421 primary TKAs were performed in 373 subjects using this system and a surgical technique that resects the posterior cruciate ligament. Of these, 365 TKAs in 320 subjects were available for a follow-up visit occurring at a mean of 5.3 years. Subjects were evaluated using Knee Society Scores, range of motion, and radiographic review.

Results

The average Knee Society clinical score was 95.5 at final follow-up, with 358 (98 %) TKAs having excellent or good results. Range of motion increased from a preoperative mean of 115 to 119° at final follow-up. Component survivorship, excluding revisions for infection or trauma, was 96.6 % at five years.

Conclusions

This study demonstrates subjects implanted with the ADVANCE® Medial Pivot Knee System achieved satisfactory clinical and radiographic midterm outcomes.
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Metadata
Title
Midterm clinical and radiographic results of the medial pivot total knee system
Authors
Robert Schmidt
Steven Ogden
J. David Blaha
Angelia Alexander
David A. Fitch
C. Lowry Barnes
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 12/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2444-5

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