AustralieFrV1, PubMed, Checkpoint, bibRecord, 000E09

Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.

Identifieur interne : 000E09 ( PubMed/Checkpoint ); précédent : 000E08; suivant : 000E10

Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.

Auteurs : Jaroslaw Czekaj [France] ; Camdon Fary [Australie] ; Thierry Gaillard [France] ; Sebastien Lustig [France]

Source :

International orthopaedics [ 1432-5195 ] ; 2017.

RBID : pubmed:28396931

Abstract

Severe varus and valgus knee deformities traditionally are replaced with constrained implants, with a number of disadvantages. We present our results in this challenging group using a low constraint deep-dish mobile bearing implant design.

DOI: 10.1007/s00264-017-3452-z
PubMed: 28396931

Affiliations:

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Le document en format XML

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<author><name sortKey="Fary, Camdon" sort="Fary, Camdon" uniqKey="Fary C" first="Camdon" last="Fary">Camdon Fary</name>
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<author><name sortKey="Lustig, Sebastien" sort="Lustig, Sebastien" uniqKey="Lustig S" first="Sebastien" last="Lustig">Sebastien Lustig</name>
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<series><title level="j">International orthopaedics</title>
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<front><div type="abstract" xml:lang="en">Severe varus and valgus knee deformities traditionally are replaced with constrained implants, with a number of disadvantages. We present our results in this challenging group using a low constraint deep-dish mobile bearing implant design.</div>
</front>
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<pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28396931</PMID>
<DateCreated><Year>2017</Year>
<Month>04</Month>
<Day>11</Day>
</DateCreated>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>24</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-5195</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>41</Volume>
<Issue>7</Issue>
<PubDate><Year>2017</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>International orthopaedics</Title>
<ISOAbbreviation>Int Orthop</ISOAbbreviation>
</Journal>
<ArticleTitle>Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.</ArticleTitle>
<Pagination><MedlinePgn>1369-1377</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00264-017-3452-z</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Severe varus and valgus knee deformities traditionally are replaced with constrained implants, with a number of disadvantages. We present our results in this challenging group using a low constraint deep-dish mobile bearing implant design.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">One hundred fifty-four patients (170 arthroplasties) who underwent primary TKA using a deep-dish, mobile bearing posterior-stabilized implant for severe varus (HKA < 170°) or valgus (HKA > 190°) deformity between 2004 and 2009 were evaluated at a mean of 6.6 years post-operatively (minimum of 5 years).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Alignment improved from a pre-operative mean (±SD) varus deformity of 167.4° (±2.6°) and a mean (±SD) valgus deformity of 194.1° (±4.0°) to an overall mean (±SD) post-operative mechanical alignment of 178.6° (±3.2°). Twenty-three patients had post-operative varus alignment, five patients had post-operative valgus alignment and 134 knees were in neutral alignment (within 3° spread). Clinical scores at final follow-up were excellent (IKS score 93.8 (±7.4) and function score 82.4 (±20.2)). Three patients were re-operated upon: one deep infection, one periprosthetic fracture and one revision at 144 months for aseptic loosening of the femoral component. No patient was revised for instability or implant failure. The survival rate at five years was 99.4% and at ten years 98.6%.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Satisfactory outcomes can be achieved in patients with substantial varus or valgus deformities using low constraint deep-dish mobile bearing implant, standard approach and appropriate soft tissue releases.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Czekaj</LastName>
<ForeName>Jaroslaw</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Albert TRILLAT Center, Lyon North University Hospital, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Fary</LastName>
<ForeName>Camdon</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Western Hospital and Epworth Musculoskeletal Institute, Melbourne, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gaillard</LastName>
<ForeName>Thierry</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Centre de Chirurgie Orthopédique du Beaujolais, 120, Ancienne Route de Beaujeu, 69653, Villefranche-sur-Sâone, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lustig</LastName>
<ForeName>Sebastien</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Albert TRILLAT Center, Lyon North University Hospital, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, France. sebastien.lustig@gmail.com.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<Month>04</Month>
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<MedlineJournalInfo><Country>Germany</Country>
<MedlineTA>Int Orthop</MedlineTA>
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<ISSNLinking>0341-2695</ISSNLinking>
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<CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Knee Surg Sports Traumatol Arthrosc. 2009 Jun;17(6):660-6</RefSource>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">LOW-constraint</Keyword>
<Keyword MajorTopicYN="N">MOBILE bearing</Keyword>
<Keyword MajorTopicYN="N">Severe coronal deformity</Keyword>
<Keyword MajorTopicYN="N">Total knee arthroplasty</Keyword>
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Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.

Does low-constraint mobile bearing knee prosthesis give satisfactory results for severe coronal deformities? A five to twelve year follow up study.

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