Young-Hoo Kim1, Jun-Shik Kim. 1. The Joint Replacement Center of Korea at Ewha Womans University College of Medicine, DongDaeMun Hospital, Seoul, Korea. younghookim@netsgo.com
Abstract
BACKGROUND: The anterior-posterior-glide Low Contact Stress mobile-bearing knee prosthesis was developed to approximate the natural kinematics of the knee more closely than the rotating-platform Low Contact Stress mobile-bearing knee prosthesis does. The purpose of the present study was to compare the results associated with these two prostheses in patients managed with simultaneous bilateral total knee replacement. METHODS:One hundred and ninety patients received ananterior-posterior-glide Low Contact Stress mobile-bearing prosthesis in one knee and a rotating-platform Low Contact Stress mobile-bearing prosthesis in the contralateral knee. The mean age of the patients at the time of the index procedure was sixty-four years. Eleven patients were men, and 179 patients were women. The mean duration of follow-up was 6.4 years (range, five to seven years). The patients were followed clinically and radiographically with use of the knee-rating systems of the Knee Society and the Hospital for Special Surgery. RESULTS: The mean postoperative Hospital for Special Surgery knee score was 89.4 points for the knees treated with the anterior-posterior-glide mobile-bearing prosthesis and 88.6 points for those treated with the rotating-platform mobile-bearing prosthesis. Three knees in each group had a poor result. Two knees in each group had persistent moderate pain. One knee with an anterior-posterior-glide prosthesis had permanent tibial and deep peroneal nerve palsies, and one knee with a rotating-platform prosthesis had a permanent deep peroneal nerve palsy. No knee had aseptic loosening, revision, measurable wear of the tibial or patellar polyethylene bearing, or osteolysis. CONCLUSIONS: After a minimum duration of follow-up of five years, the results associated with the anterior-posterior-glide and rotating-platform Low Contact Stress mobile-bearing total knee replacements were favorable and comparable.
RCT Entities:
BACKGROUND: The anterior-posterior-glide Low Contact Stress mobile-bearing knee prosthesis was developed to approximate the natural kinematics of the knee more closely than the rotating-platform Low Contact Stress mobile-bearing knee prosthesis does. The purpose of the present study was to compare the results associated with these two prostheses in patients managed with simultaneous bilateral total knee replacement. METHODS: One hundred and ninety patients received an anterior-posterior-glide Low Contact Stress mobile-bearing prosthesis in one knee and a rotating-platform Low Contact Stress mobile-bearing prosthesis in the contralateral knee. The mean age of the patients at the time of the index procedure was sixty-four years. Eleven patients were men, and 179 patients were women. The mean duration of follow-up was 6.4 years (range, five to seven years). The patients were followed clinically and radiographically with use of the knee-rating systems of the Knee Society and the Hospital for Special Surgery. RESULTS: The mean postoperative Hospital for Special Surgery knee score was 89.4 points for the knees treated with the anterior-posterior-glide mobile-bearing prosthesis and 88.6 points for those treated with the rotating-platform mobile-bearing prosthesis. Three knees in each group had a poor result. Two knees in each group had persistent moderate pain. One knee with an anterior-posterior-glide prosthesis had permanent tibial and deep peroneal nerve palsies, and one knee with a rotating-platform prosthesis had a permanent deep peroneal nerve palsy. No knee had aseptic loosening, revision, measurable wear of the tibial or patellar polyethylene bearing, or osteolysis. CONCLUSIONS: After a minimum duration of follow-up of five years, the results associated with the anterior-posterior-glide and rotating-platform Low Contact Stress mobile-bearing total knee replacements were favorable and comparable.
Authors: Johannes Holinka; Navid Bahrami; Richard Lass; Sophie Frantal; Reinhard Windhager; Hugo Axel Wanivenhaus Journal: Knee Surg Sports Traumatol Arthrosc Date: 2012-06-29 Impact factor: 4.342
Authors: Jong Keun Seon; Eun Kyoo Song; Taek Rim Yoon; Bong Hyun Bae; Sang Jin Park; Sang Gwon Cho Journal: Int Orthop Date: 2006-05-23 Impact factor: 3.075
Authors: H Van der Bracht; G Van Maele; P Verdonk; K F Almqvist; R Verdonk; M Freeman Journal: Knee Surg Sports Traumatol Arthrosc Date: 2009-10-30 Impact factor: 4.342