Minimum 10-year follow-up results of ALPINA cementless hydroxyapatite-coated anatomic unicompartmental knee arthroplasty

One hundred and one unicompartmental knee arthroplasties (UKA) were done between 1996 and 2000 with ALPINA ® UNI, a cementless hydroxyapatite-coated anatomic prosthesis. Sixty-five knees were available for the long-term follow-up at a mean of 11 years. The mean IKS improved from 119.3 ± 16.8 points...

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Veröffentlicht in:European journal of orthopaedic surgery & traumatology 2014-04, Vol.24 (3), p.385-394
Hauptverfasser: Lecuire, F., Berard, J. B., Martres, S.
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Berard, J. B.
Martres, S.
description One hundred and one unicompartmental knee arthroplasties (UKA) were done between 1996 and 2000 with ALPINA ® UNI, a cementless hydroxyapatite-coated anatomic prosthesis. Sixty-five knees were available for the long-term follow-up at a mean of 11 years. The mean IKS improved from 119.3 ± 16.8 points preoperatively to 171.4 ± 25.3 at the latest follow-up ( p  
doi_str_mv 10.1007/s00590-013-1192-3
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Eleven revision procedures were done: 1 for early knee degeneration on rheumatoid arthritis, 1 for degeneration of osteoarthritis in the opposite compartment of the knee, 1 for unexplained pain and 1 for late ACL rupture, all these 4 cases were replaced by total knee arthroplasties; 3 revisions by another UKA were done due to polyethylene insert fracture; and 4 partial revision were done for bearing exchange due to severe polyethylene wear. When revision for any reason was defined as the end point, the 13-year Kaplan–Meier survival rate was 88 % (95 % CI 81–95 %) and when revision due to implant mechanical failure (excluding degeneration of osteoarthritis in the opposite compartment of the knee and bearing exchange only) was defined as the end point, the 13-year survival rate was 94 % (95 % CI 89.1–99.1 %).</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-013-1192-3</identifier><identifier>PMID: 23456088</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Aged ; Arthritis ; Arthroplasty, Replacement, Knee - instrumentation ; Bone Cements ; Female ; Follow-Up Studies ; Humans ; Hydroxyapatite ; Hydroxyapatites ; Joint replacement surgery ; Kaplan-Meier Estimate ; Knee ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Knee Prosthesis ; Male ; Medicine ; Medicine &amp; Public Health ; Original Article ; Osteoarthritis ; Polyethylene ; Prosthesis Failure ; Radiography ; Reoperation ; Surgical Orthopedics ; Time Factors ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery &amp; traumatology, 2014-04, Vol.24 (3), p.385-394</ispartof><rights>Springer-Verlag France 2013</rights><rights>Springer-Verlag France 2013.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2873-5c2fe7749adcb4f186792c343fe09ef6bf107ee333f25773f3e81bed625d5e923</citedby><cites>FETCH-LOGICAL-c2873-5c2fe7749adcb4f186792c343fe09ef6bf107ee333f25773f3e81bed625d5e923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00590-013-1192-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00590-013-1192-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23456088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lecuire, F.</creatorcontrib><creatorcontrib>Berard, J. 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B.</au><au>Martres, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimum 10-year follow-up results of ALPINA cementless hydroxyapatite-coated anatomic unicompartmental knee arthroplasty</atitle><jtitle>European journal of orthopaedic surgery &amp; traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><addtitle>Eur J Orthop Surg Traumatol</addtitle><date>2014-04</date><risdate>2014</risdate><volume>24</volume><issue>3</issue><spage>385</spage><epage>394</epage><pages>385-394</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>One hundred and one unicompartmental knee arthroplasties (UKA) were done between 1996 and 2000 with ALPINA ® UNI, a cementless hydroxyapatite-coated anatomic prosthesis. Sixty-five knees were available for the long-term follow-up at a mean of 11 years. The mean IKS improved from 119.3 ± 16.8 points preoperatively to 171.4 ± 25.3 at the latest follow-up ( p  &lt; 0.0001). Eighty-nine percentage of the knees were rated good and excellent. The mean knee flexion has significantly improved from 120°5 preoperatively to 127°3 at the latest follow-up ( p  &lt; 0.01). Eleven revision procedures were done: 1 for early knee degeneration on rheumatoid arthritis, 1 for degeneration of osteoarthritis in the opposite compartment of the knee, 1 for unexplained pain and 1 for late ACL rupture, all these 4 cases were replaced by total knee arthroplasties; 3 revisions by another UKA were done due to polyethylene insert fracture; and 4 partial revision were done for bearing exchange due to severe polyethylene wear. When revision for any reason was defined as the end point, the 13-year Kaplan–Meier survival rate was 88 % (95 % CI 81–95 %) and when revision due to implant mechanical failure (excluding degeneration of osteoarthritis in the opposite compartment of the knee and bearing exchange only) was defined as the end point, the 13-year survival rate was 94 % (95 % CI 89.1–99.1 %).</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23456088</pmid><doi>10.1007/s00590-013-1192-3</doi><tpages>10</tpages></addata></record>
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source MEDLINE; SpringerLink Journals
subjects Aged
Arthritis
Arthroplasty, Replacement, Knee - instrumentation
Bone Cements
Female
Follow-Up Studies
Humans
Hydroxyapatite
Hydroxyapatites
Joint replacement surgery
Kaplan-Meier Estimate
Knee
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Knee Prosthesis
Male
Medicine
Medicine & Public Health
Original Article
Osteoarthritis
Polyethylene
Prosthesis Failure
Radiography
Reoperation
Surgical Orthopedics
Time Factors
Traumatic Surgery
title Minimum 10-year follow-up results of ALPINA cementless hydroxyapatite-coated anatomic unicompartmental knee arthroplasty
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