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Total knee arthroplasty using cementless keels and cemented tibial trays: 10-year results

International Orthopaedics volume 33, pages 117–121 (2009)Cite this article

Abstract

The problem of early mechanical stability of cemented and cementless keels of the tibial component in total knee arthroplasty (TKA) is controversial. The purpose of this study was to assess clinical and radiographic outcomes of a cohort of 51 TKAs using a cemented platform with cementless keel fixation. At a mean follow-up of 10.4 years (range, 7 to 14 years), the mean Knee Society Score (KSS) was 93 points (range, 59 to 100 points), and the mean functional score was 73 points (range, 0 to 100 points). Only one patient demonstrated progressive tibial radiolucencies at 13.1 years follow-up, which resolved with a revision with an exchange of components. The results of this study suggest that a proximally cemented tibial tray with a press-fit keel TKA provides excellent mean 10-year outcomes.

Résumé

Le problème de la stabilité précoce immédiate de la quille du composant tibial d’une prothèse totale du genou est sujet à controverse. Le propos de cette étude est d’étudier le devenir clinique et radiographique d’une cohorte de 51 prothèses totales du genou, avec un plateau cimenté sans fixation cimentée de la quille. Après un suivi moyen de 10,4 ans (de 7 à 14 ans), le score de la Knee Society a été de 93 points (59 à 100 points) et le score fonctionnel moyen de 73 points (de 0 à 100 points). Seulement un patient a présenté un liseré tibial progressif 13,1 ans après l’intervention avec une nécessité de révision et de changement prothétique. Le résultat de cette étude permet de penser qu’un plateau tibial cimenté avec une quille en press-fit permet d’obtenir de bons résultats avec au moins 10 ans de recul.

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Acknowledgement

Thanks to Colleen M. Kazmarek for her assistance with the manuscript preparation and editing. Thanks to Ken Davis for the statistical analysis. Thanks to Mark Kester and Michelle Lim for their constructive comments and suggestions.

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Affiliations

  1. OrthoIndy, Indianapolis, IN, USA

    Frank R. Kolisek, Nenette M. Jessup & Eric Monesmith

  2. Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA

    Michael A. Mont, Thorsten M. Seyler, David R. Marker, Junaed A. Siddiqui & Slif D. Ulrich

Authors
  1. Frank R. Kolisek
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  2. Michael A. Mont
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  3. Thorsten M. Seyler
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  4. David R. Marker
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  5. Nenette M. Jessup
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  6. Junaed A. Siddiqui
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  7. Eric Monesmith
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  8. Slif D. Ulrich
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Corresponding author

Correspondence to Slif D. Ulrich.

Additional information

Two of the authors (FRK and MAM) received financial support from Stryker Orthopaedics, Mahwah, New Jersey.

Each author certifies that his or her institution has approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research.

The authors FRK and MAM contributed equally to this work.

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Kolisek, F.R., Mont, M.A., Seyler, T.M. et al. Total knee arthroplasty using cementless keels and cemented tibial trays: 10-year results. International Orthopaedics (SICO 33, 117–121 (2009). https://doi.org/10.1007/s00264-007-0502-y

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  • DOI: https://doi.org/10.1007/s00264-007-0502-y

Keywords

  • Total Knee Arthroplasty
  • Total Knee Replacement
  • Aseptic Loosening
  • Tibial Component
  • Knee Society Score