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The Journal of Bone and Joint Surgery, Vol 73, Issue 3 397-409, Copyright © 1991 by Journal of Bone and Joint Surgery, Inc
Survivorship analysis of total knee arthroplasty. Cumulative rates of survival of 9200 total knee arthroplasties
JA Rand and DM Ilstrup
Department of Orthopedics, Mayo Clinic, Rochester, Minnesota 55905.
From 1971 through 1987, 9200 total knee arthroplasties were performed at
the Mayo Clinic. Actuarial analysis was used to estimate cumulative rates
of survival. Use of a proportional-hazard, general linear model led to the
identification of four independent variables that were associated with a
significantly lower risk of failure: primary total knee arthroplasty, a
diagnosis of rheumatoid arthritis, an age of sixty years or more, and use
of a condylar prosthesis with a metal-backed tibial component. When all
four of these favorable variables were present (without regard for
radiographic changes and non-disabling symptoms), the probability of an
implant being in situ was 97 per cent at both five and ten years.
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