Kinematic total knee arthroplasty: A 10- to 14-year prospective follow-up review
To understand better the type and incidence of long-term complications in total knee replacement, 306 primary Kinematic total knee arthroplasties performed between June 1978 and December 1982 were prospectively reviewed in detail. The Kinematic knee is a nonconstrained, posterior cruciate-retaining...
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| Veröffentlicht in: | The Journal of arthroplasty 1999-06, Vol.14 (4), p.473-480 |
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| container_title | The Journal of arthroplasty |
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| creator | Ewald, Frederick C. Wright, R.John Poss, Robert Thomas, William H. Mason, Michael D. Sledge, Clement B. |
| description | To understand better the type and incidence of long-term complications in total knee replacement, 306 primary Kinematic total knee arthroplasties performed between June 1978 and December 1982 were prospectively reviewed in detail. The Kinematic knee is a nonconstrained, posterior cruciate-retaining prosthesis that has right and left femoral components to afford
anatomic tracking of the patella. The overall revision rate was 6.5%. The most common cause for revision surgery was patellar complications. Ten revisions (3.06%) were for patellar component loosening. Two knees were revised for patella subluxation (0.65%); 1 was in a resurfaced rheumatoid patella, and 1 in an unsurfaced osteoarthritic patella. Stair climbing was better with an unsurfaced patella. Anterior knee pain was 21.8% in the unsurfaced patella and 11.2% in the replaced patella. These data suggest patella replacement is not appropriate with this design. |
| doi_str_mv | 10.1016/S0883-5403(99)90104-3 |
| format | Article |
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anatomic tracking of the patella. The overall revision rate was 6.5%. The most common cause for revision surgery was patellar complications. Ten revisions (3.06%) were for patellar component loosening. Two knees were revised for patella subluxation (0.65%); 1 was in a resurfaced rheumatoid patella, and 1 in an unsurfaced osteoarthritic patella. Stair climbing was better with an unsurfaced patella. Anterior knee pain was 21.8% in the unsurfaced patella and 11.2% in the replaced patella. These data suggest patella replacement is not appropriate with this design.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/S0883-5403(99)90104-3</identifier><identifier>PMID: 10428229</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>arthroplasty ; Arthroplasty, Replacement, Knee - methods ; Arthroplasty, Replacement, Knee - statistics & numerical data ; Follow-Up Studies ; Humans ; Incidence ; knee ; Knee Joint - diagnostic imaging ; Knee Joint - physiopathology ; Knee Prosthesis ; long-term complications ; Middle Aged ; Patella ; Postoperative Complications - epidemiology ; Prospective Studies ; Prosthesis Design ; Radiography ; Reoperation - statistics & numerical data ; Time Factors</subject><ispartof>The Journal of arthroplasty, 1999-06, Vol.14 (4), p.473-480</ispartof><rights>1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0883540399901043$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10428229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ewald, Frederick C.</creatorcontrib><creatorcontrib>Wright, R.John</creatorcontrib><creatorcontrib>Poss, Robert</creatorcontrib><creatorcontrib>Thomas, William H.</creatorcontrib><creatorcontrib>Mason, Michael D.</creatorcontrib><creatorcontrib>Sledge, Clement B.</creatorcontrib><title>Kinematic total knee arthroplasty: A 10- to 14-year prospective follow-up review</title><title>The Journal of arthroplasty</title><addtitle>J Arthroplasty</addtitle><description>To understand better the type and incidence of long-term complications in total knee replacement, 306 primary Kinematic total knee arthroplasties performed between June 1978 and December 1982 were prospectively reviewed in detail. The Kinematic knee is a nonconstrained, posterior cruciate-retaining prosthesis that has right and left femoral components to afford
anatomic tracking of the patella. The overall revision rate was 6.5%. The most common cause for revision surgery was patellar complications. Ten revisions (3.06%) were for patellar component loosening. Two knees were revised for patella subluxation (0.65%); 1 was in a resurfaced rheumatoid patella, and 1 in an unsurfaced osteoarthritic patella. Stair climbing was better with an unsurfaced patella. Anterior knee pain was 21.8% in the unsurfaced patella and 11.2% in the replaced patella. These data suggest patella replacement is not appropriate with this design.</description><subject>arthroplasty</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Arthroplasty, Replacement, Knee - statistics & numerical data</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>knee</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - physiopathology</subject><subject>Knee Prosthesis</subject><subject>long-term complications</subject><subject>Middle Aged</subject><subject>Patella</subject><subject>Postoperative Complications - epidemiology</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Radiography</subject><subject>Reoperation - statistics & numerical data</subject><subject>Time Factors</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLAzEUhYMotlZ_gpKV6CKa10wTN1KKLywoqOuQydxidNoZk5mW_nvTh67u4n4czvkQOmX0ilGWX79RpQTJJBUXWl9qyqgkYg_1WSY4UZLm-6j_j_TQUYxflDKWZfIQ9RLMFee6j16f_RxmtvUOt3VrK_w9B8A2tJ-hbiob29UNHmFGSXpjJskKbMBNqGMDrvULwNO6quol6RocYOFheYwOpraKcLK7A_Rxf_c-fiSTl4en8WhCgOeiJRyGzCnglCmRlUCneVEUVIJ1Q86F4EXOiiFwK9gQMrBTXXCmS8eVdExCGjlA59vcVOang9iamY8OqsrOoe6iybXmSkmdwLMd2BUzKE0T_MyGlflzkIDbLQCpbpoQTHQe5g5KH9JIU9Y-wWZt3Wysm7VSo7XZWDdC_AKYZ3JM</recordid><startdate>19990601</startdate><enddate>19990601</enddate><creator>Ewald, Frederick C.</creator><creator>Wright, R.John</creator><creator>Poss, Robert</creator><creator>Thomas, William H.</creator><creator>Mason, Michael D.</creator><creator>Sledge, Clement B.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19990601</creationdate><title>Kinematic total knee arthroplasty: A 10- to 14-year prospective follow-up review</title><author>Ewald, Frederick C. ; Wright, R.John ; Poss, Robert ; Thomas, William H. ; Mason, Michael D. ; Sledge, Clement B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e263t-2e71c8e201835de0f6bbb04eac722332b61b7e2a317e5eaf9b219dc284c14e153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>arthroplasty</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Arthroplasty, Replacement, Knee - statistics & numerical data</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>knee</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - physiopathology</topic><topic>Knee Prosthesis</topic><topic>long-term complications</topic><topic>Middle Aged</topic><topic>Patella</topic><topic>Postoperative Complications - epidemiology</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Radiography</topic><topic>Reoperation - statistics & numerical data</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ewald, Frederick C.</creatorcontrib><creatorcontrib>Wright, R.John</creatorcontrib><creatorcontrib>Poss, Robert</creatorcontrib><creatorcontrib>Thomas, William H.</creatorcontrib><creatorcontrib>Mason, Michael D.</creatorcontrib><creatorcontrib>Sledge, Clement B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ewald, Frederick C.</au><au>Wright, R.John</au><au>Poss, Robert</au><au>Thomas, William H.</au><au>Mason, Michael D.</au><au>Sledge, Clement B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kinematic total knee arthroplasty: A 10- to 14-year prospective follow-up review</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>1999-06-01</date><risdate>1999</risdate><volume>14</volume><issue>4</issue><spage>473</spage><epage>480</epage><pages>473-480</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>To understand better the type and incidence of long-term complications in total knee replacement, 306 primary Kinematic total knee arthroplasties performed between June 1978 and December 1982 were prospectively reviewed in detail. The Kinematic knee is a nonconstrained, posterior cruciate-retaining prosthesis that has right and left femoral components to afford
anatomic tracking of the patella. The overall revision rate was 6.5%. The most common cause for revision surgery was patellar complications. Ten revisions (3.06%) were for patellar component loosening. Two knees were revised for patella subluxation (0.65%); 1 was in a resurfaced rheumatoid patella, and 1 in an unsurfaced osteoarthritic patella. Stair climbing was better with an unsurfaced patella. Anterior knee pain was 21.8% in the unsurfaced patella and 11.2% in the replaced patella. These data suggest patella replacement is not appropriate with this design.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>10428229</pmid><doi>10.1016/S0883-5403(99)90104-3</doi><tpages>8</tpages></addata></record> |
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| subjects | arthroplasty Arthroplasty, Replacement, Knee - methods Arthroplasty, Replacement, Knee - statistics & numerical data Follow-Up Studies Humans Incidence knee Knee Joint - diagnostic imaging Knee Joint - physiopathology Knee Prosthesis long-term complications Middle Aged Patella Postoperative Complications - epidemiology Prospective Studies Prosthesis Design Radiography Reoperation - statistics & numerical data Time Factors |
| title | Kinematic total knee arthroplasty: A 10- to 14-year prospective follow-up review |
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