Long-Term Survival of Semi-Constrained Total Knee Arthroplasty for Revision Surgery
Abstract Semi-constrained implants provide stability in the setting of soft-tissue deficiency in revision total knee arthroplasty (TKA). This study evaluated our institution’s long-term survival results with a semi-constrained implant used in the revision TKA setting. 234 semi-constrained revision t...
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Veröffentlicht in: | The Journal of arthroplasty 2014-05, Vol.29 (5), p.1005-1008 |
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creator | Wilke, Benjamin K., MD Wagner, Eric R., MD Trousdale, Robert T., MD |
description | Abstract Semi-constrained implants provide stability in the setting of soft-tissue deficiency in revision total knee arthroplasty (TKA). This study evaluated our institution’s long-term survival results with a semi-constrained implant used in the revision TKA setting. 234 semi-constrained revision total knee arthroplasties were performed in 209 patients. The average follow-up was 9 years. Forty repeat revisions were performed. 5-year survival was 91% and 10-year survival was 81%. Male gender significantly increased the risk of revision. At 10 years the average range of motion, pain level, and Knee Society score improved significantly ( P < 0.001). Ninety percent of patients reported an improvement in their knee. The semi-constrained implant used in revision knee arthroplasty has acceptable implant survival and functional outcomes in the long-term follow-up period. |
doi_str_mv | 10.1016/j.arth.2013.10.025 |
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This study evaluated our institution’s long-term survival results with a semi-constrained implant used in the revision TKA setting. 234 semi-constrained revision total knee arthroplasties were performed in 209 patients. The average follow-up was 9 years. Forty repeat revisions were performed. 5-year survival was 91% and 10-year survival was 81%. Male gender significantly increased the risk of revision. At 10 years the average range of motion, pain level, and Knee Society score improved significantly ( P < 0.001). Ninety percent of patients reported an improvement in their knee. The semi-constrained implant used in revision knee arthroplasty has acceptable implant survival and functional outcomes in the long-term follow-up period.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.10.025</identifier><identifier>PMID: 24393376</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Knee - methods ; aseptic ; Female ; Humans ; Knee Joint - physiopathology ; Knee Joint - surgery ; Knee Prosthesis ; Male ; Middle Aged ; Orthopedics ; Prosthesis Design ; Range of Motion, Articular ; Reoperation ; revision ; semi-constrained ; total knee arthroplasty</subject><ispartof>The Journal of arthroplasty, 2014-05, Vol.29 (5), p.1005-1008</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-9bc426d4165b558e0c69e8c031e08c7df640807ab79a6f2ef85d9ddcc9f2e3e83</citedby><cites>FETCH-LOGICAL-c411t-9bc426d4165b558e0c69e8c031e08c7df640807ab79a6f2ef85d9ddcc9f2e3e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.arth.2013.10.025$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24393376$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilke, Benjamin K., MD</creatorcontrib><creatorcontrib>Wagner, Eric R., MD</creatorcontrib><creatorcontrib>Trousdale, Robert T., MD</creatorcontrib><title>Long-Term Survival of Semi-Constrained Total Knee Arthroplasty for Revision Surgery</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>Abstract Semi-constrained implants provide stability in the setting of soft-tissue deficiency in revision total knee arthroplasty (TKA). This study evaluated our institution’s long-term survival results with a semi-constrained implant used in the revision TKA setting. 234 semi-constrained revision total knee arthroplasties were performed in 209 patients. The average follow-up was 9 years. Forty repeat revisions were performed. 5-year survival was 91% and 10-year survival was 81%. Male gender significantly increased the risk of revision. At 10 years the average range of motion, pain level, and Knee Society score improved significantly ( P < 0.001). Ninety percent of patients reported an improvement in their knee. The semi-constrained implant used in revision knee arthroplasty has acceptable implant survival and functional outcomes in the long-term follow-up period.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>aseptic</subject><subject>Female</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prosthesis Design</subject><subject>Range of Motion, Articular</subject><subject>Reoperation</subject><subject>revision</subject><subject>semi-constrained</subject><subject>total knee arthroplasty</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFrGzEQhUVoSJw0fyCHssde1h1Jq7UWSiGYNi0xBGL3LGRpNpW7K7nSrsH_Plqc9tBDTkKj996g7xFyS2FOgdafdnMdh19zBpTnwRyYOCMzKjgrZQX1OzIDKXkpKuCX5CqlHQClQlQX5JJVvOF8Uc_IehX8c7nB2BfrMR7cQXdFaIs19q5cBp-GqJ1HW2zCkF8ePGJxl5fGsO90Go5FG2LxhAeXXPBTwjPG43ty3uou4c3reU1-fvu6WX4vV4_3P5Z3q9JUlA5lszUVq21Fa7EVQiKYukFpgFMEaRa2rSuQsNDbRaPrlmErhW2sNabJF46SX5OPp9x9DH9GTIPqXTLYddpjGJOigjZMSGholrKT1MSQUsRW7aPrdTwqCmqCqXZqgqkmmNMsw8ymD6_547ZH-8_yl14WfD4JMP_y4DCqZBx6g9ZFNIOywb2d_-U_u-mcd0Z3v_GIaRfG6DM_RVViCtR6qnNqk3IAmavkL1CGmsc</recordid><startdate>20140501</startdate><enddate>20140501</enddate><creator>Wilke, Benjamin K., MD</creator><creator>Wagner, Eric R., MD</creator><creator>Trousdale, Robert T., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140501</creationdate><title>Long-Term Survival of Semi-Constrained Total Knee Arthroplasty for Revision Surgery</title><author>Wilke, Benjamin K., MD ; Wagner, Eric R., MD ; Trousdale, Robert T., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-9bc426d4165b558e0c69e8c031e08c7df640807ab79a6f2ef85d9ddcc9f2e3e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>aseptic</topic><topic>Female</topic><topic>Humans</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prosthesis Design</topic><topic>Range of Motion, Articular</topic><topic>Reoperation</topic><topic>revision</topic><topic>semi-constrained</topic><topic>total knee arthroplasty</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilke, Benjamin K., MD</creatorcontrib><creatorcontrib>Wagner, Eric R., MD</creatorcontrib><creatorcontrib>Trousdale, Robert T., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilke, Benjamin K., MD</au><au>Wagner, Eric R., MD</au><au>Trousdale, Robert T., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Survival of Semi-Constrained Total Knee Arthroplasty for Revision Surgery</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014-05-01</date><risdate>2014</risdate><volume>29</volume><issue>5</issue><spage>1005</spage><epage>1008</epage><pages>1005-1008</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Semi-constrained implants provide stability in the setting of soft-tissue deficiency in revision total knee arthroplasty (TKA). 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subjects | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Knee - methods aseptic Female Humans Knee Joint - physiopathology Knee Joint - surgery Knee Prosthesis Male Middle Aged Orthopedics Prosthesis Design Range of Motion, Articular Reoperation revision semi-constrained total knee arthroplasty |
title | Long-Term Survival of Semi-Constrained Total Knee Arthroplasty for Revision Surgery |
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