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Are the long term results of a high-flex total knee replacement affected by the range of flexion?

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Abstract

Purpose

The purpose of this study was to examine the effect of deep flexion on the long-term durability of a high-flex ceramic implant in total knee arthroplasty.

Methods

Five hundred and five consecutive knees replaced with a Bi-Surface knee system (Kyocera Medical, Osaka, Japan) were divided into two groups according to the range of flexion by 135° postoperatively. Comparison of implant durability was made between the high- and low-flexion groups after a minimum ten year follow-up.

Results

With revision for any surgery as the end point, the survival rates at ten years were 95.5 % and 96.2 % in the high- and low-flexion group, respectively (p = 0.63). With revision for mechanical failure as the end point, survival rates were 98.7 % and 98.5 %, respectively (p = 0.94).

Conclusion

Implant survival rate was similar for both groups. Deep flexion seemed not to affect long-term durability.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Kyoto University, Graduate School of Medicine, 54 Shogoin-Kawaharacho, Sakyo-ku, Kyoto, 606-8507, Japan

    Shinichiro Nakamura, Hiromu Ito, Masahiko Kobayashi & Takashi Nakamura

  2. Center for Musculoskeletal Research, University of Tennessee, 301 Perkins Hall, 1506 Middle Drive, Knoxville, TN, 37996, USA

    Shinichiro Nakamura & Richard D. Komistek

  3. Department of Orthopedic Surgery, Tamatsukuri-Koseinenkin Hospital, 1-2 Tamayucho-Yumachi, Matsue, Shimane, 699-0202, Japan

    Kenji Nakamura & Ueo Toyoji

Authors
  1. Shinichiro Nakamura
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  2. Hiromu Ito
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  3. Masahiko Kobayashi
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  4. Kenji Nakamura
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  5. Ueo Toyoji
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  6. Richard D. Komistek
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  7. Takashi Nakamura
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Correspondence to Shinichiro Nakamura.

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Nakamura, S., Ito, H., Kobayashi, M. et al. Are the long term results of a high-flex total knee replacement affected by the range of flexion?. International Orthopaedics (SICOT) 38, 761–766 (2014). https://doi.org/10.1007/s00264-013-2179-8

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  • DOI: https://doi.org/10.1007/s00264-013-2179-8

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