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Long-term outcomes were similar between hybrid and cemented TKAs performed on paired knees at a minimum 15 years of follow-up

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

To compare long-term clinical and radiographic results and survival rates between hybrid and cemented total knee arthroplasties (TKAs) performed on paired knees.

Methods

Seventy-two patients with hybrid and cemented TKAs performed on paired knees with NexGen® cruciate-retaining prostheses were retrospectively reviewed after a minimum 15 years of follow-up. Mean follow-up period was 17.5 years. Preoperative alignment deformity and range of motion (ROM) were not different between groups. The Knee Society score, Western Ontario and McMaster Universities Osteoarthritis Index, and ROM were evaluated. Radiographically, change in joint space width, component loosening, and osteolysis were evaluated. Implant survival rate was analyzed.

Results

There were no significant differences in clinical results between hybrid and cemented TKAs performed on paired knees of 72 patients at the last follow-up. No significant difference was observed in the change in joint space width between the two groups at the last follow-up (medial = 0.3 mm vs. 0.4 mm; lateral = 0.1 mm vs. 0.2 mm). One hybrid TKA showed tibial component loosening, for which revision was performed. There was femoral osteolysis in one hybrid and one cemented TKA, and tibial osteolysis in eight hybrid TKAs and seven cemented TKAs (n.s., respectively). The 20-year survival rate was 97.7% for hybrid TKAs and 100% for cemented TKAs (n.s.).

Conclusion

The long-term outcomes were similar between hybrid and cemented TKAs performed on paired knees at a minimum 15 years of follow-up. The method of femoral component fixation did not have a significant effect on long-term TKA success.

Level of evidence

III.

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Funding

No external funding was used.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea

    Sang Jun Song, Jong Whan Lee & Cheol Hee Park

  2. Department of Orthopaedic Surgery, Seoul Sacred Heart General Hospital, Seoul, Korea

    Dae Kyung Bae

Authors
  1. Sang Jun Song
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  2. Jong Whan Lee
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  3. Dae Kyung Bae
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  4. Cheol Hee Park
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Correspondence to Cheol Hee Park.

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Ethical approval

All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Institutional Review Board of our hospital.

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Song, S.J., Lee, J.W., Bae, D.K. et al. Long-term outcomes were similar between hybrid and cemented TKAs performed on paired knees at a minimum 15 years of follow-up. Knee Surg Sports Traumatol Arthrosc 30, 832–841 (2022). https://doi.org/10.1007/s00167-021-06463-5

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  • DOI: https://doi.org/10.1007/s00167-021-06463-5

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