Posterior Cruciate Ligament-Retaining Total Knee Arthroplasty in Patients with Rheumatoid Arthritis

Archibeck, Michael J.; Berger, Richard A.; Barden, Regina M.; Jacobs, Joshua J.; Sheinkop, Mitchell B.; Rosenberg, Aaron G.; Galante, Jorge O.

doi:10.2106/00004623-200108000-00013

Cited by 56 publications

(29 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although numerous reports describe the long-term results of TKA, many of the systems described are not currently in use [1,2,16,18,39,44,50]. Of greater utility would be long-term reports of currently used prostheses developed to address issues associated with earlier implants.…”

Section: Introductionmentioning

confidence: 99%

Cruciate-retaining TKA Using a Third-generation System with a Four-pegged Tibial Component: A Minimum 10-year Followup Note

Schwartz

Valle

Rosenberg

et al. 2010

Clinical Orthopaedics &Amp; Related Research

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Cruciate-retaining TKA Using a Third-generation System with a Four-pegged Tibial Component: A Minimum 10-year Followup Note

Schwartz

Valle

Rosenberg

et al. 2010

Clinical Orthopaedics &Amp; Related Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, Scott et al21) argued that in more than 95% of RA patients undergoing TKA, the PCL was intact and should be preserved to maximize tibial rollback and subsequent knee flexion. Furthermore, Archibeck et al26) reported 95% good or excellent results in 46 RA knees treated with cruciate retaining TKA with a mean follow-up of 10.5 years.…”

Section: Clinical Resultsmentioning

confidence: 99%

Total Knee Arthroplasty in Rheumatoid Arthritis

Lee

Choi

2012

Knee Surg Relat Res

View full text Add to dashboard Cite

The course of rheumatoid arthritis varies from mild disease to severe joint destructive variant that progresses rapidly, eventually leading to unremitting pain and joint deformity. In advanced disease, total knee arthroplasty has proven to be the most successful intervention that reduces knee pain and improves physical function in rheumatoid arthritis patients. However, as rheumatoid arthritis patients carry additional potential for late complications, many important considerations regarding preoperative evaluation and surgical technique must be taken into account in order to improve the results of total knee arthroplasty in this subgroup of patients.

show abstract

“…On the other hand, Scott and colleagues 18 reported that 95% of patients with RA undergoing TKR had an intact PCL and argued that the PCL should be preserved during the pro cedure to maximize femoral rollback. Furthermore, Archibeck and colleagues 19 reported that cruciate-retaining TKR yielded satisfactory clinical and radiological results in patients with RA at a mean follow-up of 10.5 years. In 2011, Miller and colleagues 7 evaluated the long-term results of 20 years of follow-up after performing cruciate-retaining TKR in patients with RA.…”

Section: Discussionmentioning

confidence: 99%

Long-term results of cruciate-retaining total knee replacement in patients with rheumatoid arthritis: a minimum 15-year review

et al. 2015

View full text Add to dashboard Cite

Background:There is controversy about whether to retain or excise the posterior cruciate ligament in rheumatoid knees because attenuation of the ligament is often present in this subgroup of patients. We reviewed more than 15 years of results of cruciate-retaining total knee replacements (TKRs) in patients with rheumatoid arthritis. Methods:We reviewed patients' charts and radiographs to evaluate knee range of motion and flexion contractures, component loosening and osteolysis at the bonecement interface. Our primary outcome was revision of a femoral or tibial component for any reason, and the secondary outcome was revision for any reason and periprosthetic fracture during the follow-up period.Results: Our study included 112 patients (7 men, 105 women, 176 knees). Their mean age was 49.3 (range 33-64) years. Twenty-one patients died and 16 were lost to followup, leaving 75 patients (119 knees) with a minimum follow-up of 15 (mean 16.1) years for our analysis. Of these, 61 patients (101 knees) were available for clinical and radiological evaluation at the final follow-up assessment. At a mean of 12.2 (range 6-16) years, revision was necessary in 14 patients (19 knees), including 1 patient with an infection. Eleven patients (11 knees) had periprosthetic fractures at a mean of 11.4 (range 5-14) years after the index operation. The survival rate, with the end point being revision of the femoral or tibial component for any reason, was 98.7% at 10 years and 83.6% at 17 years. The survival rate of revision and periprosthetic fracture was 97.6% at 10 years and 76.9% at 17 years. Conclusion:Special attention should be paid to component loosening or periprosthetic fracture after more than 10 years of follow-up in this subgroup of patients. Contexte :On ne s'entend pas sur la nécessité de conserver ou d'exciser le ligament croisé postérieur dans les genoux rhumatoïdes en raison de l'affaiblissement du ligament, souvent présent chez cette catégorie de patients. Nous avons passé en revue sur plus de 15 ans les résultats de prothèses totales du genou (PTG) avec préservation du ligament croisé chez des patients atteints de polyarthrite rhumatoïde.Méthodes : Nous avons examiné les dossiers et les radiographies des patients pour évaluer l'amplitude de mouvement et les contractures en flexion des genoux, le descellement des composants et l'ostéolyse à l'interface os-ciment. Notre paramètre principal était la révision d'un composant fémoral ou tibial, peu importe la raison, et le paramètre secondaire était la révision, peu importe la raison, ainsi que les fractures périprothé-tiques durant la période de suivi.Résultats : Notre étude a regroupé 112 patients (7 hommes, 105 femmes; 176 genoux). L'âge moyen était de 49,3 ans (entre 33 et 64 ans). Vingt-et-un patients sont décédés et 16 ont été perdus au suivi, ce qui laissait 75 patients (119 genoux) et un suivi minimum de 15 ans (moyenne 16,1 ans) pour notre analyse. Parmi ces patients, 61 (101 genoux) étaient disponibles pour évaluation clinique et radiologique à la dernière évaluat...

show abstract

Posterior Cruciate Ligament-Retaining Total Knee Arthroplasty in Patients with Rheumatoid Arthritis

Cited by 56 publications

References 11 publications

Cruciate-retaining TKA Using a Third-generation System with a Four-pegged Tibial Component: A Minimum 10-year Followup Note

Cruciate-retaining TKA Using a Third-generation System with a Four-pegged Tibial Component: A Minimum 10-year Followup Note

Total Knee Arthroplasty in Rheumatoid Arthritis

Long-term results of cruciate-retaining total knee replacement in patients with rheumatoid arthritis: a minimum 15-year review

Contact Info

Product

Resources

About