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The Journal of Bone and Joint Surgery, Vol 72, Issue 4 529-535, Copyright © 1990 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Total condylar knee replacement in patients who have rheumatoid arthritis. A ten-year follow-up study

RS Laskin
Department of Orthopaedic Surgery, Long Island Jewish Medical Center Campus for the Albert Einstein College of Medicine, New Hyde Park, New York 11042.

Eighty knee replacements with a total condylar prosthesis in patients who had rheumatoid arthritis were followed for ten years. At ten years, nineteen knees needed revision and sixty-one prostheses were still functioning. The major reasons for revision were loosening of the tibial component or late bacteremic seeding from another site. Radiolucency at the bone-cement interface adjacent to the tibial component was statistically related to malposition of the tibial component. According to the system of The Hospital for Special Surgery, the mean scores were 64 points preoperatively and 85 points postoperatively. Synovitis recurred in only 3 per cent of the knees. When revision, pain, or radiographic evidence of loosening were considered an indication of failure, the ten-year cumulative survival was 75 per cent.
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