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Long-term results of a rotationally unconstrained fixed-bearing total knee prosthesis

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Abstract

Purpose

Introduced in the market in 1990 by Ceraver (France), the posterior-stabilised (PS) Hermes prosthesis has limited literature regarding long-term survivability. The purpose of the study is to evaluate the survival and functional outcomes of the prosthesis.

Methods

A retrospective case series was performed including 164 patients (176 knees) having undergone total knee arthroplasty with the Hermes prosthesis between 1997 and 2000 with a follow-up period of 18 years.

Results

Kaplan–Meier analysis showed a survival rate of 99.4% (95% CI. 96.0–100.0%) at 18.4 years with one revision. At final follow-up, the International Knee Society (IKS) functional score was 93.2 ± 15.6 and IKS knee score was 99.1 ± 2.5.

Conclusion

The Hermes PS model is a low conformity prosthesis that offers reliable durability that is comparable to other popular designs while minimizing rotational constraints and having an approachable learning curve for new users.

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Data availability

Available upon request.

Code availability

Not applicable.

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Author information

Authors and Affiliations

  1. Division of Orthopaedic Surgery, Denain Hospital Center, 25 Bis Avenue Jean Jaurès, 59220, Denain, France

    E. Pitsaer

  2. Division of Orthopaedic Surgery, McGill University Health Center, 1650 Cedar Ave, Montreal, QC, H3G 1A4, Canada

    S. Chergui

  3. Division of Orthopaedic Surgery, University of Montreal Health Center, 1051 Rue Sanguinet, Montreal, QC, H2X 3E4, Canada

    F. Lavoie

Authors
  1. E. Pitsaer
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  2. S. Chergui
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  3. F. Lavoie
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Contributions

Dr Pitsaer participated in conceptualisation, investigation, methodology, project administration, formal analysis, and review/editing of the study. Dr Chergui performed data curation, formal analysis, visualisation, manuscript writing, and review/editing. Dr Lavoie was involved in project administration, supervision, validation, and review/editing.

Corresponding author

Correspondence to S. Chergui.

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Publication consent was obtained from all individual participants included in the study.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Level of evidence: Level IV (Case series).

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Cite this article

Pitsaer, E., Chergui, S. & Lavoie, F. Long-term results of a rotationally unconstrained fixed-bearing total knee prosthesis. International Orthopaedics (SICOT) 48, 965–970 (2024). https://doi.org/10.1007/s00264-024-06097-5

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  • DOI: https://doi.org/10.1007/s00264-024-06097-5

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