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 Adult Knee Reconstruction Test 5: Knee Arthroplasty
CME 2: April, May, June 2004
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The Journal of Bone and Joint Surgery (American) 86:1239-1247 (2004)
© 2004 The Journal of Bone and Joint Surgery, Inc.

Comparison of Anterior-Posterior-Glide and Rotating-Platform Low Contact Stress Mobile-Bearing Total Knee Arthroplasties

Young-Hoo Kim, MD1 and Jun-Shik Kim, MD1

1 The Joint Replacement Center of Korea at Ewha Womans University DongDaeMun Hospital, 70, ChongRo 6-Ga, ChongRo-Gu, Seoul, Korea (110-126). E-mail address for Y.-H. Kim: younghookim{at}netsgo.com

Investigation performed at The Joint Replacement Center of Korea at Ewha Womans University College of Medicine, Seoul, Korea

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

Background: The anterior-posterior-glide Low Contact Stress mobile-bearing knee prosthesis was developed to approximate the natural kinematics of the knee more closely than the rotating-platform Low Contact Stress mobile-bearing knee prosthesis does. The purpose of the present study was to compare the results associated with these two prostheses in patients managed with simultaneous bilateral total knee replacement.

Methods: One hundred and ninety patients received an anterior-posterior-glide Low Contact Stress mobile-bearing prosthesis in one knee and a rotating-platform Low Contact Stress mobile-bearing prosthesis in the contralateral knee. The mean age of the patients at the time of the index procedure was sixty-four years. Eleven patients were men, and 179 patients were women. The mean duration of follow-up was 6.4 years (range, five to seven years). The patients were followed clinically and radiographically with use of the knee-rating systems of the Knee Society and the Hospital for Special Surgery.

Results: The mean postoperative Hospital for Special Surgery knee score was 89.4 points for the knees treated with the anterior-posterior-glide mobile-bearing prosthesis and 88.6 points for those treated with the rotating-platform mobile-bearing prosthesis. Three knees in each group had a poor result. Two knees in each group had persistent moderate pain. One knee with an anterior-posterior-glide prosthesis had permanent tibial and deep peroneal nerve palsies, and one knee with a rotating-platform prosthesis had a permanent deep peroneal nerve palsy. No knee had aseptic loosening, revision, measurable wear of the tibial or patellar polyethylene bearing, or osteolysis.

Conclusions: After a minimum duration of follow-up of five years, the results associated with the anterior-posterior-glide and rotating-platform Low Contact Stress mobile-bearing total knee replacements were favorable and comparable.

Level of Evidence: Therapeutic study, Level II-1 (prospective cohort study). See Instructions to Authors for a complete description of levels of evidence.


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