Total knee replacement—cementless tibial fixation with screws: 10-year results
Background: The aim of this study was to evaluate the long term clinical and radiological results of cementless total knee replacement. Methods: A total of 51 knees of 49 patients (33 female and 16 male; mean age: 61.6 years (range, 29–66 years)) who underwent TKR surgery with a posterior stabilized...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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AVES
2017-12-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17300123 |
| _version_ | 1797909054795808768 |
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| author | Önder Ersan Alper Öztürk Mehmet Faruk Çatma Serhan Ünlü Mutlu Akdoğan Yalım Ateş |
| author_facet | Önder Ersan Alper Öztürk Mehmet Faruk Çatma Serhan Ünlü Mutlu Akdoğan Yalım Ateş |
| author_sort | Önder Ersan |
| collection | DOAJ |
| description | Background: The aim of this study was to evaluate the long term clinical and radiological results of cementless total knee replacement. Methods: A total of 51 knees of 49 patients (33 female and 16 male; mean age: 61.6 years (range, 29–66 years)) who underwent TKR surgery with a posterior stabilized hydroxyapatite coated knee implant were included in this study. All of the tibial components were fixed with screws. The HSS scores were examined preoperatively and at the final follow-up. Radiological assessment was performed with Knee Society evaluating and scoring system. Kaplan–Meier survival analysis was performed to rule out the survival of the tibial component. Results: The mean HSS scores were 45.8 (range 38–60) and 88.1 (range 61–93), preoperatively and at the final follow-up respectively. Complete radiological assessment was performed for 48 knees. Lucent lines at the tibial component were observed in 4 patients; one of these patients underwent a revision surgery due to the loosening of the tibial component. The 10-year survival rate of a tibial component was 98%. Conclusion: Cementless total knee replacement has satisfactory long term clinical results. Primary fixation of the tibial component with screws provides adequate stability even in elderly patients with good bone quality. Level of evidence: Level IV, Therapeutic study. Keywords: Cementless total knee arthroplasty, Screw fixation, Osteolysis, Hydroxyapatite |
| first_indexed | 2024-04-10T11:02:27Z |
| format | Article |
| id | doaj.art-abe06f0218134aafae749ef82f7e40b4 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T11:02:27Z |
| publishDate | 2017-12-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-abe06f0218134aafae749ef82f7e40b42023-02-15T16:19:36ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-12-01516433436Total knee replacement—cementless tibial fixation with screws: 10-year resultsÖnder Ersan0Alper Öztürk1Mehmet Faruk Çatma2Serhan Ünlü3Mutlu Akdoğan4Yalım Ateş5University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyCorresponding author. University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Department of Orthopaedics and Traumatology, Şehit Ömer Halisdemir St., 06110 Dışkapı - Altındağ/Ankara, Turkey.; University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyUniversity of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyUniversity of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyUniversity of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyUniversity of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, TurkeyBackground: The aim of this study was to evaluate the long term clinical and radiological results of cementless total knee replacement. Methods: A total of 51 knees of 49 patients (33 female and 16 male; mean age: 61.6 years (range, 29–66 years)) who underwent TKR surgery with a posterior stabilized hydroxyapatite coated knee implant were included in this study. All of the tibial components were fixed with screws. The HSS scores were examined preoperatively and at the final follow-up. Radiological assessment was performed with Knee Society evaluating and scoring system. Kaplan–Meier survival analysis was performed to rule out the survival of the tibial component. Results: The mean HSS scores were 45.8 (range 38–60) and 88.1 (range 61–93), preoperatively and at the final follow-up respectively. Complete radiological assessment was performed for 48 knees. Lucent lines at the tibial component were observed in 4 patients; one of these patients underwent a revision surgery due to the loosening of the tibial component. The 10-year survival rate of a tibial component was 98%. Conclusion: Cementless total knee replacement has satisfactory long term clinical results. Primary fixation of the tibial component with screws provides adequate stability even in elderly patients with good bone quality. Level of evidence: Level IV, Therapeutic study. Keywords: Cementless total knee arthroplasty, Screw fixation, Osteolysis, Hydroxyapatitehttp://www.sciencedirect.com/science/article/pii/S1017995X17300123 |
| spellingShingle | Önder Ersan Alper Öztürk Mehmet Faruk Çatma Serhan Ünlü Mutlu Akdoğan Yalım Ateş Total knee replacement—cementless tibial fixation with screws: 10-year results Acta Orthopaedica et Traumatologica Turcica |
| title | Total knee replacement—cementless tibial fixation with screws: 10-year results |
| title_full | Total knee replacement—cementless tibial fixation with screws: 10-year results |
| title_fullStr | Total knee replacement—cementless tibial fixation with screws: 10-year results |
| title_full_unstemmed | Total knee replacement—cementless tibial fixation with screws: 10-year results |
| title_short | Total knee replacement—cementless tibial fixation with screws: 10-year results |
| title_sort | total knee replacement cementless tibial fixation with screws 10 year results |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17300123 |
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