Mid- to long-term results of revision total knee replacement using press-fit intramedullary stems with cemented femoral and tibial components

Manopoulos, Patrice; Havet, É.; Pearce, Oliver; Lardanchet, J; Mertl, P.

doi:10.1302/0301-620x.94b7.26943

Cited by 20 publications

(16 citation statements)

References 25 publications

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“…Lee et al [ 32 ] reported a survival rate of 83% at 8 years in 79 revisions, and Peters et al [ 25 ] reported a rate of 80% at 80 months in 43 revisions. This study showed a survival rate of 80%, which was lower than in other studies [ 33 , 34 ] but similar to that reported by Conlisk et al [ 30 ].…”

Section: Discussionsupporting

confidence: 87%

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Sanz-Ruíz

Villanueva‐Martínez

Matas-Diez

et al. 2015

BMC Musculoskelet Disord

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BackgroundThe increasing number of revision knee arthroplasty result in the more frequently use of a constraint implant but results from previous reports are difficult to interpret. The purpose of this study was to compare the long-term outcomes of superficial cemented versus metaphyseal cemented in revision total knee arthroplasty with a condylar constrained arthroplasty.MethodsThe study was a retrospective analysis of clinical and radiographic outcomes in a series of revision total knee arthroplasties performed with a constrained condylar knee prosthesis and press-fit modular stems. We hypothesized that the clinical and radiographic outcome of surface cementation would be inferior to that of metaphyseal cementation. Fifty-two consecutive revision cases were followed for a median of 8.2 years (range, 6 to 10 years).ResultsSubstantial improvements in range of motion and Knee Society score were achieved in all patients, although these were not significant between groups. Significantly more radiolucent lines were visible on the tibial component with surface cementation than with metaphyseal cementation, although the clinical differences were not relevant.ConclusionsRadiologic outcome was better in revision total knee arthroplasty using metaphyseal cemented revision and components with press-fit cementless stems than in the surface cementation–based approach; however, the difference was not clinically relevant.

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Section: Discussionsupporting

confidence: 87%

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Sanz-Ruíz

Villanueva‐Martínez

Matas-Diez

et al. 2015

BMC Musculoskelet Disord

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“…Indeed, stem fixation has been used for a long time in revision TKA with satisfactory results. However, some problems have been described such as pain at the tip of the stem 22 and difficulties in positioning the stem itself if the femoral and tibia canal were not straight, 9 10 11 even with off-set design, thus impairing the efficacy of the treatment. Moreover, in many cases, the metaphyseal region has still fairly good bone quality and it seems reasonable to use it to fix the implant and not to bypass it with a stem.…”

Section: Discussionmentioning

confidence: 99%

“…So far, fixation has been achieved with intramedullary stems either cemented or press fit, with satisfactory results, albeit a few problems have been reported such as pain at the tip of the stem and difficulties in finding a correct position of the stem itself if tibia and femoral canals are not straight, with the need of offset devices. 9 10 11 …”

Section: Introductionmentioning

confidence: 99%

Revision Total Knee Arthroplasty with Metaphyseal Sleeves without Stem: Short-Term Results

Stefani

Mattiuzzo

Prestini

2017

Joints

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Purpose The aim of this study was to evaluate the efficacy of revision total knee arthroplasty (TKA) with cementless metaphyseal sleeves without stems either in the femoral or tibial side or in both. Methods In this retrospective study, 51 patients (51 knees) operated in the period 2010 to 2015 met the above-mentioned criteria and were invited to a medical examination including X-rays. Forty-six were available for the study. Mean follow-up was 37 months. Knee Society score (KSS) (objective knee score), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score, and range of motion (ROM) were used as outcome scores and compared with baseline values. X-rays were also examined and compared with postoperative exams to evaluate the presence of loosening, radiolucent lines, and bone ingrowth. Satisfaction of the patients was also investigated using a linear scale from 1 to 10. Results KSS improved from 39 to 77 ( p < 0.01); WOMAC score improved from 76 to 41 ( p < 0.01). Twenty-four (52%) patients were satisfied, 15 (32%) were partially satisfied, and 7 (16%) were unsatisfied. ROM improved from 93 to 96 degrees (nonsignificant difference). X-rays showed no loosening of the implants, radiolucent lines in 4 patients (3 of them were asymptomatic) and bone ingrowth in 43 out of 46 patients. Conclusion In this short-term retrospective study, the use of sleeves without stem was a safe and effective procedure in revision TKA. We found a significant improvement in clinical results compared with baseline values and no signs of implant loosening. Level of Evidence Level IV, therapeutic case series.

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“…The TC3 implant (Depuy Synthes) has been used for many years as both a primary and revision implant with good clinical results in short-term [13][14][15][16][17] and long-term [18] observation. Damage of the prosthesis at the level of stem -condyle junction is a rare phenomenon, but it is described in the literature and carries serious consequences for the patient [6].…”

Section: Discussionmentioning

confidence: 99%

Failure of the femoral stem – condyle junction in a semiconstrained knee prosthesis. Analysis of two cases

Zawojski¹,

Orthopedics²,

Niedźwiedzki³

et al. 2020

Chir. Narzadow Ruchu Ortop. Pol.

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Failure of the stem -condyle junction in a modular knee prosthesis is a rare phenomenon, but it has been described and carries serious consequences. Loosening of the femoral component increases the loads acting on the stem -condyle junction and increases the risk of fatigue fracture of the implant. The aim of this paper was to describe two cases of such damage in the revision semiconstrained prosthesis with used stems and sleeves.

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Mid- to long-term results of revision total knee replacement using press-fit intramedullary stems with cemented femoral and tibial components

Cited by 20 publications

References 25 publications

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Revision TKA with a condylar constrained prosthesis using metaphyseal and surface cementation: a minimum 6-year follow-up analysis

Revision Total Knee Arthroplasty with Metaphyseal Sleeves without Stem: Short-Term Results

Failure of the femoral stem – condyle junction in a semiconstrained knee prosthesis. Analysis of two cases

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