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Archives of orthopaedic and traumatic surgery

, Volume 104, Issue 4, pp 227–232 | Cite as

Total condylar knee arthroplasty

A report of 2-year follow-up on 247 cases
  • S. Nielsen
  • I. Hvid
  • O. Sneppen
Original Articles

Summary

Two hundred and forty-seven consecutive total knee replacements using the Insall-Burstein standard total condylar knee system with 2 years' follow-up were studied. Of the 238 available to follow-up, two were reoperated during the period, owing to infection and traumatic loosening of a tibia component respectively. Seventy-nine patients were operated for rheumatoid arthritis and 94 for osteoarthritis. In assessment of the total therapeutic result, registration of pain, walking ability, range of motion, muscle strength, flexion deformity, valgus-varus deformities, instability, and use of walking aids were included, according to a rating system. Excellent or good results were found in 91.5%; 6.5% were fair, and 2% were poor. There were two cases of infection; one resulted in removal of the prosthesis and an arthrodesis was done. There were four suspected aseptic loosenings, three cases of transient peroneal nerve palsies, and three patients who developed reflex dystrophy.

Keywords

Rheumatoid Arthritis Total Knee Replacement Aseptic Loosenings Peroneal Nerve Tibia Component 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Zusammenfassung

Die vorliegende Arbeit umfaßt eine Analyse von 247 Eingriffen unter Anwendung des totalen kondylären Kniegelenkersatzsystems nach Insall-Burstein. 238 Gelenke konnten einer zweijährigen Nachuntersuchung unterzogen werden, wobei während dieser Periode, teils wegen einer tiefen Infektion, teils wegen einer traumatischen Lösung der Tibiakomponente, eine Revision von zwei Gelenken vorgenommen worden war. Der Eingriff wurde bei 79 Patienten aufgrund einer rheumatischen Polyarthritis, bei 94 wegen einer degenerativen Arthrose ausgeführt. Der Wertung des funktionellen Endergebnisses lag eine Skala zugrunde, die folgende Elemente beinhaltete: Schmerz, Gehvermögen, Bewegungsausschlag, Muskelkraft, Flexionskontraktur, Varus-Valgus-Fehlstellung, Instabilität und die Verwendung von Gehhilfen. Ein ausgezeichnetes oder gutes Endergebnis erzielten 91.5%, ein zufriedenstellendes 6.5%, und ein schlechtes 2% der Fälle. Zwei Gelenke waren infiziert, bei einem von diesen wurde die Infektion durch eine Arthrodese zur Ausheilung gebracht. Bei 4 Gelenken ergab sich der Verdacht einer aseptischen Lösung, 3 Fälle wiesen eine vorübergehende Peroneusparese und bei 3 Patienten trat eine Reflexdystrophie auf.

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Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • S. Nielsen
    • 1
  • I. Hvid
    • 1
  • O. Sneppen
    • 1
  1. 1.The Orthopaedic HospitalÅrhus NDenmark

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