Influence of polyethylene constraint on tibial component fixation in total knee arthroplasty: follow-up report after 5 years

• The influence of articulating surface design of AMK total knee prosthesis (DePuy, Johnson & Johnson) on migration and radiographic outcome at 5 years was evaluated. The knees were randomly allocated to receive a flat or a concave insert with retention of the posterior cruciate ligament when preoperative deformity was less severe and either a concave or a posterior-stabilized insert with resection of the posterior cruciate ligament when deformity was more pronounced. In 64 knees, migration was measured with radiostereometry. The posterior-stabilized component displayed more varus-valgus tilting than the concave insert. Other statistically significant differences in migration were not seen. Radiolucent lines were frequently seen without differences between prosthesis groups.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

Keyword

*Arthroplasty

Replacement

Hip

Follow-Up Studies

Humans

Knee Joint/radiography

*Knee Prosthesis

*Polyethylene

Prosthesis Design

Prosthesis Failure

Tibia

Publication and Content Type

ref (subject category)

art (subject category)