Abstract
In a long-term follow-up of 55 Marmor knee arthroplasties in patients with rheumatoid arthritis operated on between 1975 and 1977, the radiologically visible indicator wire was used to identify the position of the tibial components. The survival rate of the prostheses at 15 years was 0.71, and the revisions were evenly distributed over the observation period of 16 years. No significant relationship was found between the slope of the tibial components postoperatively and the survival of the prostheses. However, a postoperative valgus angle of the leg of 3 deg or more tended to increase the risk of revision (RH = 2.7, 95% CL= 0.8–8.9). The patient's sex, affected side or weight did not influence prosthesis survival.
Similar content being viewed by others
References
Andersson GBI, Herberts P (1979) ICLH arthroplasty of the knee joint: results and complications. Proceedings of Swedish Orthopedic Association. Acta Orthop Scand 50:351
Dorr LD, Boiardo RA (1986) Technical considerations in total knee arthroplasty. Clin Orthop 205:5–11
Goldie IF, Raner C, Cappelen-Smith J (1979) The relationship between the position of a duocondylar knee-prosthesis (St. Georg) and the function of the knee. A clinical follow-up and radiographic study. Arch Orthop Trauma Surg 95:1–5
Johansson J-E, Sigurdsson T, Holmberg L, Bergström R (1992) Erythrocyte sedimentation rate as a tumor marker in human prostatic cancer. Cancer 70:1556–1562
Jónsson GT (1981) Compartmental arthroplasty for gonarthrosis. Academic thesis, Lund. Acta Orthop Scand Suppl 193, 52:86
Kolstad K, Wigren A (1982) Marmor knee arthroplasty. Clinical results and complications during an observation period of at least 3 years. Acta Orthop Scand 53:651–661
Larsen A, Dale K, Eek M (1977) Radiographic evaluation of rheumatoid arthritis and related conditions by standard reference films. Acta Radiol Diagn 18:481–491
Lawless JF (1982) Statistical model and methods for lifetime data. Wiley, New York
Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg [Am] 59:77–79
Moreland JR (1988) Mechanisms of failure in total knee arthroplasty. Clin Orthop 226:49–64
Ryd L, Lindstrand A, Stenström A, Selvik G (1992) The influence of metal backing in unicompartmental tibial component fixation. Arch Orthop Trauma Surg 111:148–154
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kolstad, K., Sahlstedt, B. & Bergström, R. Marmor modular knee plateau positioning and prosthesis survival in 55 knees with rheumatoid arthritis. Arch Orthop Trauma Surg 115, 17–21 (1996). https://doi.org/10.1007/BF00453211
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00453211