Two- to Four-Year Follow-up Results of Total Knee Arthroplasty Using a New High-Flexion Prosthesis
Identifieur interne : 007F95 ( Ncbi/Curation ); précédent : 007F94; suivant : 007F96Two- to Four-Year Follow-up Results of Total Knee Arthroplasty Using a New High-Flexion Prosthesis
Auteurs : Man Soo Kim [Corée du Sud] ; In Jun Koh [Corée du Sud] ; Sung Won Jang [Corée du Sud] ; Neung Han Jeon [Corée du Sud] ; Yong In [Corée du Sud]Source :
- Knee Surgery & Related Research [ 2234-0726 ] ; 2016.
Abstract
The purpose of this study was to evaluate minimum 2-year follow-up results of total knee arthroplasty (TKA) performed using a new high-flexion prosthesis design (LOSPA).
The 2- to 4-year results of 191 consecutive TKAs (177 patients) with the LOSPA posterior-stabilized prosthesis were evaluated. The patients were assessed clinically and radiographically using the Knee Society scoring system (KSS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
The mean range of motion (ROM) increased significantly from 117.4° (range, 75° to 140°) preoperatively to 126.7° (range, 80° to 144°) postoperatively (p<0.001). The mean KSS and WOMAC scores improved significantly from 121.4 (range, 42 to 185) and 56.1 (range, 23 to 88) preoperatively to 174.0 (range, 130 to 200) and 16.4 (range, 0 to 85) postoperatively, respectively (both, p<0.001). One knee required revision for deep infection. No knee had aseptic loosening or osteolysis. Radiolucent lines were noted in 15 knees (7.9%).
The new high-flexion total knee prosthesis resulted in no early aseptic loosening of the component and improved postoperative ROM comparable to other high-flexion TKA prostheses at 2- to 4-year follow-ups.
Url:
DOI: 10.5792/ksrr.2016.28.1.39
PubMed: 26955612
PubMed Central: 4779804
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Two- to Four-Year Follow-up Results of Total Knee Arthroplasty Using a New High-Flexion Prosthesis</title>
<author><name sortKey="Kim, Man Soo" sort="Kim, Man Soo" uniqKey="Kim M" first="Man Soo" last="Kim">Man Soo Kim</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Koh, In Jun" sort="Koh, In Jun" uniqKey="Koh I" first="In Jun" last="Koh">In Jun Koh</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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</author>
<author><name sortKey="Jang, Sung Won" sort="Jang, Sung Won" uniqKey="Jang S" first="Sung Won" last="Jang">Sung Won Jang</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
</placeName>
</affiliation>
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<author><name sortKey="Jeon, Neung Han" sort="Jeon, Neung Han" uniqKey="Jeon N" first="Neung Han" last="Jeon">Neung Han Jeon</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="In, Yong" sort="In, Yong" uniqKey="In Y" first="Yong" last="In">Yong In</name>
<affiliation wicri:level="3"><nlm:aff id="A1">Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.</nlm:aff>
<country xml:lang="fr" wicri:curation="lc">Corée du Sud</country>
<wicri:regionArea>Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul</wicri:regionArea>
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<region type="capital">Région capitale de Séoul</region>
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<series><title level="j">Knee Surgery & Related Research</title>
<idno type="ISSN">2234-0726</idno>
<idno type="eISSN">2234-2451</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>The purpose of this study was to evaluate minimum 2-year follow-up results of total knee arthroplasty (TKA) performed using a new high-flexion
prosthesis design (LOSPA).</p>
</sec>
<sec><title>Materials and Methods</title>
<p>The 2- to 4-year results of 191 consecutive TKAs (177 patients) with the LOSPA posterior-stabilized prosthesis were evaluated. The patients were assessed clinically and radiographically using the Knee Society scoring system (KSS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).</p>
</sec>
<sec><title>Results</title>
<p>The mean range of motion (ROM) increased significantly from 117.4° (range, 75° to 140°) preoperatively to 126.7° (range, 80° to 144°) postoperatively (p<0.001). The mean KSS and WOMAC scores improved significantly from 121.4 (range, 42 to 185) and 56.1 (range, 23 to 88) preoperatively to 174.0 (range, 130 to 200) and 16.4 (range, 0 to 85) postoperatively, respectively (both, p<0.001). One knee required revision for deep infection. No knee had aseptic loosening or osteolysis. Radiolucent lines were noted in 15 knees (7.9%).</p>
</sec>
<sec><title>Conclusions</title>
<p>The new high-flexion total knee prosthesis resulted in no early aseptic loosening of the component and improved postoperative ROM comparable to other high-flexion TKA prostheses at 2- to 4-year follow-ups.</p>
</sec>
</div>
</front>
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<author><name sortKey="Innocenti, B" uniqKey="Innocenti B">B Innocenti</name>
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<author><name sortKey="Labey, L" uniqKey="Labey L">L Labey</name>
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<author><name sortKey="Victor, J" uniqKey="Victor J">J Victor</name>
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