Abstract
Purpose
There is no information comparing the results of fixed-bearing total knee replacement and mobile-bearing total knee replacement in the same patients previously treated by high tibial osteotomy. The purpose was therefore to compare fixed-bearing and mobile-bearing total knee replacements in patients treated with previous high tibial osteotomy.
Methods
We compared the results of 57 patients with osteoarthritis who had received a fixed-bearing prosthesis after high tibial osteotomy with the results of 41 matched patients who had received a rotating platform after high tibial osteotomy. The match was made for length of follow-up period. The mean follow-up was 17 years (range, 15–20 years). The patients were assessed clinically and radiographically.
Results
The pre-operative knee scores had no statistically significant differences between the two groups. So was the case with the intra-operative releases, blood loss, thromboembolic complications and infection rates in either group. There was significant improvement in both groups of knees, and no significant difference was observed between the groups (i.e., fixed-bearing and mobile-bearing knees) for the mean Knee Society knee clinical score (95 and 92 points, respectively), or the Knee Society knee functional score (82 and 83 points, respectively) at the latest follow-up. However, the mean post-operative knee motion was higher for the fixed-bearing group (117° versus 110°). In the fixed-bearing group, one knee was revised because of periprosthetic fracture. In the rotating platform mobile-bearing group, one knee was revised because of aseptic loosening of the tibial component. The Kaplan-Meier survivorship for revision at ten years of follow-up was 95.2% for the fixed bearing prosthesis and 91.1% for the rotating platform mobile-bearing prosthesis.
Conclusions
Although we did manage to detect significant differences mainly in clinical and radiographic results between the two groups, we found no superiority or inferiority of the mobile-bearing total knee prosthesis over the fixed-bearing total knee prosthesis for patients previously operated by high tibial osteotomy.
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References
Aglietti P, Baldini A, Buzzi R, Lup D, De Luca L (2005) Comparison of mobile-bearing and fixed-bearing total knee arthroplasty: a prospective randomized study. J Arthroplast 20:145–153
Bhan S, Malhotra R, Kiran EK, Shukla S, Bijjawara M (2005) A comparison of fixed bearing and mobile-bearing total knee arthroplasty at a minimum follow-up of 4.5 years. J Bone Joint Surg Am 87:2290–2296
Breeman S, Campbell MK, Dakin H, Fiddian N, Fitzpatrick R, Grant A, Gray A, Johnston L, MacLennan GS, Morris RW, Murray DW, Group KATT (2013) Five-year results of a randomized controlled trial comparing mobile and fixed bearings in total knee replacement. Bone Joint J. 95-B:486–492
Buechel FF Sr, Buechel FF Jr, Pappas MJ, D’Alessio J (2001) Twenty-year evaluation of meniscal bearing and rotating platform knee replacements. Clin Orthop Relat Res 388:41–50
Callaghan JJ, Wells CW, Liu SS, Goetz DD, Johnston RC (2010) Cemented rotating-platform total knee replacement: a concise follow-up, at a minimum of twenty years, of a previous report. J Bone Joint Surg Am 92:1635–1639
Carothers JT, Kim RH, Dennis DA, Southworth C (2011) Mobile bearing total knee arthroplasty: a meta-analysis. J Arthroplast 26:537–542
Hernigou P, Roussignol X, Flouzat-Lachaniette CH, Filippini P, Guissou I, Poignard A (2010) Opening wedge tibial osteotomy for large varus deformity with Ceraver resorbable beta tricalcium phosphate wedges. Int Orthop 34(2):191–199
Hernigou P, Queinnec S, Picard L, Guissou I, Naanaa T, Duffiet P, Julian D, Archer V (2013) Safety of a novel high tibial osteotomy locked plate fixation for immediate full weight-bearing: a case-control study. Int Orthop 37(12):2377–2384
Caton JH, Prudhon JL, Aslanian T, Verdier R (2016) Patellar height assessment in total knee arthroplasty: a new method. Int Orthop 40(12):2527–2531
Hernigou P, Dubory A, Potage D, et al. (2016) Outcome of knee revisions for osteoarthritis and inflammatory arthritis with postero-stabilized arthroplasties: a mean ten-year follow-up with 90 knee revisions. Int Orthop 41(4):757–763
Kim YH, Kim JS, Choe JW, Kim HJ (2012) Long-term comparison of fixed-bearing and mobile-bearing total knee replacements in patients younger than fifty-one years of age with osteoarthritis. J Bone Joint Surg Am 94:866–873
Oh KJ, Pandher DS, Lee SH, Sung Joon SD Jr, Lee ST (2009) Metaanalysis comparing outcomes of fixed-bearing and mobile-bearing prostheses in total knee arthroplasty. J Arthroplast 24:873–884
Pijls BG, Valstar ER, Kaptein BL, Nelissen RG (2012) Differences in long-term fixation between mobile-bearing and fixed-bearing knee prostheses at ten to 12 years’ follow-up: a single-blinded randomised controlled radiostereometric trial. J Bone Joint Surg Br 94:1366–1371
Smith H, Jan M, Mahomed NN, Davey JR, Gandhi R (2011) Metaanalysis and systematic review of clinical outcomes comparing mobile bearing and fixed bearing total knee arthroplasty. J Arthroplast 26:1205–1213
Smith TO, Ejtehadi F, Nichols R, Davies L, Donell ST, Hing CB (2010) Clinical and radiological outcomes of fixed- versus mobile bearing total knee replacement: a meta-analysis. Knee Surg Sports Traumatol Arthrosc 18:325–340
Watanabe T, Tomita T, Fujii M, Hashimoto J, Sugamoto K, Yoshikawa H (2005) Comparison between mobile-bearing and fixed-bearing knees in bilateral total knee replacements. Int Orthop 29(3):179–181
Wen Y, Liu D, Huang Y, Li B (2011) A meta-analysis of the fixed bearing and mobile-bearing prostheses in total knee arthroplasty. Arch Orthop Trauma Surg 131:1341–1350
Zeng Y, Shen B, Yang J, Zhou ZK, Kang PD, Pei FX (2013) Is there reduced polyethylene wear and longer survival when using a mobile-bearing design in total knee replacement? A meta-analysis of randomised and non-randomised controlled trials. Bone Joint J 95-B(8):1057–1063
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All procedures were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
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Hernigou, P., Huys, M., Pariat, J. et al. Comparison of fixed-bearing and mobile-bearing total knee arthroplasty after high tibial osteotomy. International Orthopaedics (SICOT) 42, 317–322 (2018). https://doi.org/10.1007/s00264-017-3540-0
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DOI: https://doi.org/10.1007/s00264-017-3540-0