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Knee Surgery, Sports Traumatology, Arthroscopy

Published in:

01-06-2015 | Knee

No clinical benefit of titanium nitride coating in cementless mobile-bearing total knee arthroplasty

Authors: Ruud P. van Hove, Richard M. Brohet, Barend J. van Royen, Peter A. Nolte

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 6/2015

Abstract

Purpose

Titanium nitride (TiN) coating of cobalt–chromium–molybdenum (CoCrMo) implants has shown to improve the biomechanical properties of the implant surface and to reduce adhesive wear in vitro. It is yet unknown whether TiN coating of total knee prosthesis (TKP) affects the postoperative clinical outcome of total knee arthroplasty (TKA).

Methods

In a double-blind randomized controlled clinical trial, 101 patients received an uncemented mobile-bearing CoCrMo TKP, either TiN coated or uncoated. Primary outcome measure visual analogue scale (VAS) score for pain, and secondary outcome measures Knee Society Score (KSS), revision rate and adverse events, range of motion of the knee as well as knee circumference and knee skin temperature were assessed 6 weeks, 6 months, 1 year and 5 years postoperative. Repeated measures analysis was used to evaluate the postoperative outcome measures over time.

Results

There was no difference between the two groups in VAS score, KSS, revision rate, range of motion of the knee, knee circumference and knee skin temperature. There were no adverse events that could be related to the TiN coating.

Conclusions

TiN-coated TKP does not influence the postoperative outcome of uncemented mobile-bearing TKA regarding postoperative pain, revision rate, range of motion, swelling and temperature of the knee. Therefore, TiN coating of CoCrMo TKP has no clinical benefit on the outcome of cementless mobile-bearing TKA.

Level of evidence

Therapeutic study, Level I.

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Title: No clinical benefit of titanium nitride coating in cementless mobile-bearing total knee arthroplasty
Authors: Ruud P. van Hove
Richard M. Brohet
Barend J. van Royen
Peter A. Nolte
Publication date: 01-06-2015
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 6/2015
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-3359-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

No clinical benefit of titanium nitride coating in cementless mobile-bearing total knee arthroplasty

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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