The Journal of Bone and Joint Surgery, Vol 77, Issue 11 1713-1720, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

The posterior stabilized total knee prosthesis. Assessment of polyethylene damage and osteolysis after a ten-year-minimum follow-up

WA Colizza, JN Insall and GR Scuderi
Insall Scott Kelly Institute for Orthopaedics and Sports Medicine, Beth Israel Medical Center, North Division, New York City, NY 10128, USA.

The long-term results of use of the posterior stabilized total knee prosthesis were evaluated with regard to clinical performance, survival of the implant, polyethylene wear, osteolysis, and loosening. One hundred and twenty patients had 165 primary total knee arthroplasties, with insertion of a posterior stabilized total knee prosthesis with a metal-backed tibial component with cement, between March 1981 and March 1983. Thirty-seven patients (fifty-three knees) subsequently died, five patients (six knees) were lost to follow-up, three patients (three knees) refused evaluation, and one patient (two knees) was excluded because of severe medical debilitation. Thus, seventy-four patients (101 knees) were available for analysis. The mean age of the patients at the time of the operation was sixty-four years (range, twenty-two to eighty-one years). The mean duration of follow-up was ten years and eight months (range, ten years to eleven years and ten months). Preoperatively, the mean arc of motion was 94 degrees (range, 65 to 130 degrees), compared with 110 degrees (range, 90 to 145 degrees) at the latest follow-up examination. The mean knee score, according to the rating system of The Hospital for Special Surgery, was 51 points (range, 18 to 73 points) preoperatively, compared with 85 points (range, 0 to 100 points) at the latest follow-up examination. When the four knees that had a revision are excluded, the mean knee score, according to the rating system of the Knee Society, was 92 points (range, 67 to 100 points) and the mean functional score was 71 points (range, 0 to 100 points) at the latest follow-up examination.(ABSTRACT TRUNCATED AT 250 WORDS)
CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				M. B. Collier, C. A. Engh Jr., J. P. Mcauley, S. D. Ginn, and G. A. Engh Osteolysis After Total Knee Arthroplasty: Influence of Tibial Baseplate Surface Finish and Sterilization of Polyethylene Insert. Findings at Five to Ten Years Postoperatively J. Bone Joint Surg. Am., December 1, 2005; 87(12): 2702 - 2708. [Abstract] [Full Text] [PDF]

				S. Bhan, R. Malhotra, E. K. Kiran, S. Shukla, and M. Bijjawara A Comparison of Fixed-Bearing and Mobile-Bearing Total Knee Arthroplasty at a Minimum Follow-up of 4.5 Years J. Bone Joint Surg. Am., October 1, 2005; 87(10): 2290 - 2296. [Abstract] [Full Text] [PDF]

				M. C. Oliver, O. D. Keast-Butler, B. L. Hinves, and J. A. N. Shepperd A hydroxyapatite-coated Insall-Burstein II total knee replacement: 11-YEAR RESULTS J Bone Joint Surg Br, April 1, 2005; 87-B(4): 478 - 482. [Abstract] [Full Text] [PDF]

				K. Nakayama, S. Matsuda, H. Miura, H. Higaki, K. Otsuka, and Y. Iwamoto Contact stress at the post-cam mechanism in posterior-stabilised total knee arthroplasty J Bone Joint Surg Br, April 1, 2005; 87-B(4): 483 - 488. [Abstract] [Full Text] [PDF]

				P. F. Lachiewicz and E. S. Soileau The Rates of Osteolysis and Loosening Associated with a Modular Posterior Stabilized Knee Replacement. Results at Five to Fourteen Years J. Bone Joint Surg. Am., March 1, 2004; 86(3): 525 - 530. [Abstract] [Full Text] [PDF]

				D. A. Parker, M. J. Dunbar, and C. H. Rorabeck Extensor Mechanism Failure Associated With Total Knee Arthroplasty: Prevention and Management J. Am. Acad. Ortho. Surg., July 1, 2003; 11(4): 238 - 247. [Abstract] [Full Text] [PDF]

				J. A. Rand, R. T. Trousdale, D. M. Ilstrup, and W. S. Harmsen Factors Affecting the Durability of Primary Total Knee Prostheses J. Bone Joint Surg. Am., January 29, 2003; 85(2): 259 - 265. [Abstract] [Full Text] [PDF]

				M. R. O'Rourke, J. J. Callaghan, D. D. Goetz, P. M. Sullivan, and R. C. Johnston Osteolysis Associated with a Cemented tModular Posterior-Cruciate-Substituting Total Knee Design : Five to Eight-Year Follow-up J. Bone Joint Surg. Am., August 12, 2002; 84(8): 1362 - 1371. [Abstract] [Full Text] [PDF]

				S. A. Edwards, H. G. Pandit, J. L. Ramos, and M. L. Grover Analysis of Polyethylene Thickness of Tibial Components in Total Knee Replacement J. Bone Joint Surg. Am., March 1, 2002; 84(3): 369 - 371. [Abstract] [Full Text]

				C. J. Vertullo, M. E. Easley, W. N. Scott, and J. N. Insall Mobile Bearings in Primary Knee Arthroplasty J. Am. Acad. Ortho. Surg., November 1, 2001; 9(6): 355 - 364. [Abstract] [Full Text] [PDF]

				M. W. Pagnano, G. R. Scuderi, and J. N. Insall Tibial Osteolysis Associated with the Modular Tibial Tray of a Cemented Posterior Stabilized Total Knee Replacement : A Case Report J. Bone Joint Surg. Am., October 1, 2001; 83(10): 1545 - 1548. [Full Text] [PDF]

				W. L. Healy, R. Iorio, and M. J. Lemos Athletic Activity after Joint Replacement Am. J. Sports Med., May 1, 2001; 29(3): 377 - 388. [Abstract] [Full Text] [PDF]

				S. K.T. Puloski, R. W. McCalden, S. J. MacDonald, C. H. Rorabeck, and R. B. Bourne Tibial Post Wear in Posterior {-}Stabilized Total Knee Arthroplasty : An Unrecognized Source of Polyethylene Debris J. Bone Joint Surg. Am., March 1, 2001; 83(3): 390 - 390. [Abstract] [Full Text]

				S. A. Mikulak, O. M. Mahoney, M. A. delaRosa, and T. P. Schmalzried Loosening and Osteolysis with the Press-Fit Condylar Posterior-Cruciate-Substituting Total Knee Replacement J. Bone Joint Surg. Am., March 1, 2001; 83(3): 398 - 398. [Abstract] [Full Text]

				A. D. Hanssen, M. J. Stuart, R. D. Scott, and G. R. Scuderi Surgical Options for the Middle-Aged Patient with Osteoarthritis of the Knee Joint*{{dagger}} J. Bone Joint Surg. Am., December 1, 2000; 82(12): 1767 - 1767. [Full Text]

				J. J. Callaghan, J. N. Insall, A. S. Greenwald, D. A Dennis, R. D. Komistek, D. W. Murray, R. B. Bourne, C. H. Rorabeck, and L. D. Dorr Mobile-Bearing Knee Replacement : Concepts and Results*{{dagger}} J. Bone Joint Surg. Am., July 1, 2000; 82(7): 1020 - 1020. [Full Text]

				J. J. Callaghan, M. W. Squire, D. D. Goetz, P. M. Sullivan, and R. C. Johnston Cemented Rotating-Platform Total Knee Replacement : A Nine to Twelve-Year Follow-up Study J. Bone Joint Surg. Am., May 1, 2000; 82(5): 705 - 705. [Abstract] [Full Text]

				J.-M. CLOUTIER, P. SABOURET, and A. DEGHRAR Total Knee Arthroplasty with Retention of Both Cruciate Ligaments. A Nine to Eleven-Year Follow-up Study J. Bone Joint Surg. Am., May 1, 1999; 81(5): 697 - 702. [Abstract] [Full Text]

				T. P. SCHMALZRIED and J. J. CALLAGHAN Current Concepts Review - Wear in Total Hip and Knee Replacements J. Bone Joint Surg. Am., January 1, 1999; 81(1): 115 - 136. [Full Text]

				D. R. DIDUCH, J. N. INSALL, W. N. SCOTT, G. R. SCUDERI, and D. FONT-RODRIGUEZ Total Knee Replacement in Young, Active Patients. Long-Term Follow-up and Functional Outcome J. Bone Joint Surg. Am., April 1, 1997; 79(4): 575 - 82. [Abstract] [Full Text]

				C. S. RANAWAT, C. P. LUESSENHOP, and J. A. RODRIGUEZ The Press-Fit Condylar Modular Total Knee System. Four-to-Six-Year Results with a Posterior-Cruciate-Substituting Design J. Bone Joint Surg. Am., March 1, 1997; 79(3): 342 - 8. [Abstract] [Full Text]