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Similar patient-reported outcomes for hybrid and cemented stem fixation for aseptic tibial revision total knee arthroplasty: a comparison of sequential prospective cohorts

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The tibial stem fixation in an aseptic revision of total knee arthroplasty is poorly studied and controversial. The objective of this study was to prospectively compare clinical outcomes between hybrid and cemented fixation of the stem in aseptic tibial revision after a minimum follow-up of 5 years.

Methods

Two sequential prospective cohorts of patients who underwent aseptic tibial revision were compared after a minimum follow-up of five years: 31 had both tibial tray and stem cemented (cemented group), and 42 had a hybrid fixation with tibial tray cemented and stem cementless (hybrid group). Clinical assessment was performed by the Knee Society Scores and reduced Western Ontario and McMaster Universities Arthritis Index. Radiological assessment was also performed.

Results

There were no significant differences in preoperative data between groups. Postoperatively, no significant differences between groups in clinical scores or complication rate were found. Survival of the TKA revision at 5-year was 94% (95% CI 89–98%) in the cemented group, and 98% (95% CI 92–100%) in the hybrid group (ns).

Conclusion

Clinical outcomes and implant survival were comparable between hybrid and cemented tibial stem fixation.

Level of evidence

II.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Elda University Hospital, Ctra Elda-Sax s/n, 03600, Elda, Alicante, Spain

    Francisco A. Miralles-Muñoz, Matias Ruiz-Lozano, Adolfo Perez-Aznar, Emilio Sebastia-Forcada & Alejandro Lizaur-Utrilla

  2. Department of Traumatology and Orthopaedics, Faculty of Medicine, Miguel Hernandez University, N-332 km 87 s/n, 03550, San Juan de Alicante, Alicante, Spain

    Alejandro Lizaur-Utrilla

  3. Unit of Nursing Research, Faculty of Health Sciences, Alicante University, 03690, S. Vicente Raspeig, Alicante, Spain

    M. Flores Vizcaya-Moreno

Authors
  1. Francisco A. Miralles-Muñoz
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  2. Matias Ruiz-Lozano
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  3. Adolfo Perez-Aznar
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  4. Emilio Sebastia-Forcada
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  5. Alejandro Lizaur-Utrilla
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  6. M. Flores Vizcaya-Moreno
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Corresponding author

Correspondence to Alejandro Lizaur-Utrilla.

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The authors declare that they have no conflict of interest.

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The present study was approved by the Institutional Review Board of the Elda University Hospital, Miguel Hernandez University (ID number: PI2011-099), and informed consent was required.

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Miralles-Muñoz, F.A., Ruiz-Lozano, M., Perez-Aznar, A. et al. Similar patient-reported outcomes for hybrid and cemented stem fixation for aseptic tibial revision total knee arthroplasty: a comparison of sequential prospective cohorts. Knee Surg Sports Traumatol Arthrosc 30, 3992–3997 (2022). https://doi.org/10.1007/s00167-022-06869-9

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  • DOI: https://doi.org/10.1007/s00167-022-06869-9

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