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Conclusions

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Total Knee Arthroplasty
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Summary

Total knee arthroplasty (TKA) is an effective treatment for severe arthrosis of the knee with predictable pain relief and longevity of the arthroplasty. However, late mechanical failure may occur, necessitating revision surgery, and normal range of motion and kinematics are not reliably achieved. Current developments in surgical technique, instrumentation, and implant design including computer-assisted navigation, minimally invasive surgery, use of more durable bearing surface materials, and kinematic implant designs, offer the potential to further improve the function and longevity of TKA.

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References

  1. Worland RL, Johnson GV, Alemparte J, et al (2002) Ten-to fourteen-year survival and functional analysis of the AGC total knee replacement system. Knee 9:133

    Article  PubMed  Google Scholar 

  2. Laskin RS (2001) The Genesis total knee prosthesis: a 10-year follow-up study. Clin Orthop 388:95

    PubMed  Google Scholar 

  3. Berger RA, Rosenberg AG, Barden RM, et al (2001) Long-term follow-up of the Miller-Galante total knee replacement. Clin Orthop 388:58

    PubMed  Google Scholar 

  4. Buehler KO, Venn-Watson E, D’Lima DD, et al (2000) The press-fit condylar total knee system: 8-to 10-year results with a posterior cruciate retaining design. J Arthroplasty 15:698

    Article  PubMed  Google Scholar 

  5. Lyback CO, Belt EA, Hamalainen MM, et al (2000) Survivorship of AGC knee replacement in juvenile chronic arthritis: 13-year follow-up of 77 knees. J Arthroplasty 15:166

    Article  PubMed  Google Scholar 

  6. Aglietti P, Buzzi R, De Felice R, et al (1999) The Insall-Burstein total knee replacement in osteoarthritis: a 10-year minimum follow-up. J Arthroplasty 14:560

    Article  PubMed  Google Scholar 

  7. McKellop H, Shen FW, Lu B, et al (1999) Development of an extremely wear-resistant ultra high molecular weight polyethylene for total hip replacements. J Orthop Res 17:157

    PubMed  Google Scholar 

  8. Muratoglu OK, Bragdon CR, O’Connor DO, et al (2001) A novel method of cross-linking ultra-high-molecular-weight polyethylene to improve wear, reduce oxidation, and retain mechanical properties. Recipient of the 1999 HAP Paul Award. J Arthroplasty 16:149

    PubMed  Google Scholar 

  9. Martell JM, Verner JJ, Incavo SJ (2003) Clinical performance of a highly crosslinked polyethylene at two years in total hip arthroplasty: a randomized prospective trial. J Arthroplasty 18[Suppl 1]:55

    Google Scholar 

  10. Digas G, Karrholm J, Thanner J, et al 2003 Highly cross-linked polyethylene in cemented THA: randomized study of 61 hips. Clin Orthop 417:126

    PubMed  Google Scholar 

  11. Digas G, Herberts P, Karrholm J, et al (2004) Crosslinked vs. conventional polyethylene in bilateral hybrid THA. Randomized RSA study. Trans Orthop Res Sec 29:319

    Google Scholar 

  12. Heisel C, Silva M, dela Rosa M, et al (2004) Short-term in vivo wear of cross-linked polyethylene. J Bone Joint Surg [Am] 86:248

    Google Scholar 

  13. Baker D, Bellare A, L Pruitt (2003) The effects of degree of crosslinking on the fatigue crack initiation and propagation resistance of orthopedic grade polyethylene. J Biomed Mater Res 66:146

    Article  Google Scholar 

  14. Baker DA, Hasting RS, Pruitt L (1999) Study of fatigue resistance of chemical and radiation crosslinked medical grade ultrahigh molecular weight polyethylene. J Biomed Mater Res 46:573

    PubMed  Google Scholar 

  15. Halley D, Glassman A, Crowninshield RD (2004) Recurrent dislocation after revision total hip replacement with a large prosthetic femoral head. A case report. J Bone Joint Surg [Am] 86:827

    PubMed  Google Scholar 

  16. Bradford L, Kurland M, Sankaran H, et al (2004) Early failure due to osteolysis in highly crosslinked ultra-high molecular weight polyethylene: a case report. J Bone Joint Surg [Am] 86:1051

    PubMed  Google Scholar 

  17. Bartel DL, Bicknell VL, Wright TM (1986) The effect of conformity, thickness, and material on stresses in ultra-high molecular weight components for total joint replacement. J Bone Joint Surg[Am] 68:1041

    PubMed  Google Scholar 

  18. Ries MD, Salehi A, Widding K, et al (2002) Polyethylene wear performance of oxidized zirconium and cobalt-chromium knee components under abrasive conditions. J Bone Joint Surg [Am] 84:S129

    Google Scholar 

  19. Widding K, Scott M, Jani S, et al (2003) Crosslinked UHMWPE in knees: Clean versus abrasive conditions. Trans Orthop Res Soc 28:1427

    Google Scholar 

  20. Muatoglu O, Burroughs B, Christensen S, et al (2004) In vitro wear of highly crosslinked tibias articulating with explanted rough femoral components. Trans Orthop Res Sec 29:297

    Google Scholar 

  21. Laskin RS (2003) An oxidized Zr ceramic surfaced femoral component for total knee arthroplasty. Clin Orthop 416:191

    PubMed  Google Scholar 

  22. Spector M, Ries MD, Bourne RB, et al (2001) Wear performance of ultra-high molecular weight polyethylene on oxidized zirconium total knee femoral components. J Bone Joint Surg [Am] 83:580

    PubMed  Google Scholar 

  23. Laskin RS, Beksac B, Phongkunakorn A, et al (2004) Minimally invasive total knee replacement through a mini-midvastus incision: an outcome study. Clin Orthop 428:74–81

    PubMed  Google Scholar 

  24. Haas SB (2004) Minimally invasive total knee arthroplasty: a comparative study. Clin Orthop 428:68–73

    PubMed  Google Scholar 

  25. Tria AJ, Coon TM (2003) Minimal incision total knee arthroplasty. Clin Orthop 416:185–190

    PubMed  Google Scholar 

  26. Woolson ST, Mow CS, Syquia JF, Lannin JV, Schurman DJ (2004) Comparison of primary total hip replacements performed with a standard incision or a mini-incision. J Bone Joint Surg [Am] 86:1353–1358

    PubMed  Google Scholar 

  27. Van Ham G et al (1998) Machining and accuracy studies for a tibial knee implant using a force-controlled robot. Comput Aided Surg 3:123–133

    Article  PubMed  Google Scholar 

  28. Chauhan SK, Scott RG, Breidahl W, Beaver RJ (2004) Computer-assisted knee arthroplasty versus a conventional jig-based technique. A randomised, prospective trial. J Bone Joint Surg [Br] 86:372–377

    Article  Google Scholar 

  29. Stockl B, Nogler M, Rosiek R, Fischer M, Krismer M, Kessler O (2004) Navigation improves accuracy of rotational alignment in total knee arthroplasty. Clin Orthop 426:180–186

    PubMed  Google Scholar 

  30. Victor J; Hoste D (2004) Image-based computer-assisted total knee arthroplasty leads to lower variability in coronal alignment. Clin Orthop 428:131–139

    Article  PubMed  Google Scholar 

  31. Dennis DA, Komistek RD, Mahfouz MR, Haas BD, Steihl JB (2003) Multicenter determination of in vivo kinematics after total knee arthroplasty. Clin Orthop 416:37–57

    PubMed  Google Scholar 

  32. Walker PS, Sathasivam S (2000) Design forms of total knee replacement. Proc Inst Mech Eng 214:101–119

    Article  Google Scholar 

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© 2005 Springer Medizin Verlag Heidelberg

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Ries, M. (2005). Conclusions. In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_64

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  • DOI: https://doi.org/10.1007/3-540-27658-0_64

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20242-4

  • Online ISBN: 978-3-540-27658-6

  • eBook Packages: MedicineMedicine (R0)

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