REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS

ABSTRACT Objective: To determine whether the second-generation constrained condylar prosthesis provided satisfactory results in revision total knee arthroplasty. Methods: A series of 41 cases of revision total knee arthroplasty using the second-generation constrained condylar knee prosthesis was...

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Main Authors: Naoki Nakano, Tomoyuki Matsumoto, Hirotsugu Muratsu, Kazunari Ishida, Ryosuke Kuroda, Masahiro Kurosaka
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2016-12-01
Series:Acta Ortopédica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000600304&tlng=en
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author Naoki Nakano
Tomoyuki Matsumoto
Hirotsugu Muratsu
Kazunari Ishida
Ryosuke Kuroda
Masahiro Kurosaka
author_facet Naoki Nakano
Tomoyuki Matsumoto
Hirotsugu Muratsu
Kazunari Ishida
Ryosuke Kuroda
Masahiro Kurosaka
author_sort Naoki Nakano
collection DOAJ
description ABSTRACT Objective: To determine whether the second-generation constrained condylar prosthesis provided satisfactory results in revision total knee arthroplasty. Methods: A series of 41 cases of revision total knee arthroplasty using the second-generation constrained condylar knee prosthesis was reviewed. The series comprised 7 men and 34 women with a mean age of 73.2 years. The original diagnosis was predominantly osteoarthritis. The most common reason for revision surgery was aseptic loosening. The mean interval between the primary and revision surgeries was 66.4 months. The mean follow-up period was 49.4 months. Results: The mean Knee Society knee score improved from 43.8 to 82.9 after revision surgery, the mean Knee Society function score improved from 37.1 to 79.2; the range of motion improved from 95.6° to 105.6° and the radiological femorotibial alignment improved from 181.4° (varus 6.4°) to 174.9° (valgus 0.1°), on average (p<0.001 at all items). Conclusion: Revision total knee arthroplasty with the use of the second-generation constrained condylar knee prosthesis yielded reproducible clinical success. Level of Evidence IV, Case series.
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spelling doaj.art-439d8784da4e43d6858fd039b1c3d3952022-12-21T21:38:38ZengSociedade Brasileira de Ortopedia e TraumatologiaActa Ortopédica Brasileira1413-78522016-12-0124630430810.1590/1413-785220162406146213REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESISNaoki NakanoTomoyuki MatsumotoHirotsugu MuratsuKazunari IshidaRyosuke KurodaMasahiro KurosakaABSTRACT Objective: To determine whether the second-generation constrained condylar prosthesis provided satisfactory results in revision total knee arthroplasty. Methods: A series of 41 cases of revision total knee arthroplasty using the second-generation constrained condylar knee prosthesis was reviewed. The series comprised 7 men and 34 women with a mean age of 73.2 years. The original diagnosis was predominantly osteoarthritis. The most common reason for revision surgery was aseptic loosening. The mean interval between the primary and revision surgeries was 66.4 months. The mean follow-up period was 49.4 months. Results: The mean Knee Society knee score improved from 43.8 to 82.9 after revision surgery, the mean Knee Society function score improved from 37.1 to 79.2; the range of motion improved from 95.6° to 105.6° and the radiological femorotibial alignment improved from 181.4° (varus 6.4°) to 174.9° (valgus 0.1°), on average (p<0.001 at all items). Conclusion: Revision total knee arthroplasty with the use of the second-generation constrained condylar knee prosthesis yielded reproducible clinical success. Level of Evidence IV, Case series.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000600304&tlng=enArthroplastyreplacementKnee. Knee prosthesis Treatment outcome
spellingShingle Naoki Nakano
Tomoyuki Matsumoto
Hirotsugu Muratsu
Kazunari Ishida
Ryosuke Kuroda
Masahiro Kurosaka
REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
Acta Ortopédica Brasileira
Arthroplasty
replacement
Knee. Knee prosthesis Treatment outcome
title REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
title_full REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
title_fullStr REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
title_full_unstemmed REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
title_short REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS
title_sort revision total knee arthroplasty using the modern constrained condylar knee prosthesis
topic Arthroplasty
replacement
Knee. Knee prosthesis Treatment outcome
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522016000600304&tlng=en
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