Cargando…

No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty

The aim of this study was to compare the long-term implant survival and outcomes in patients with high-flexion cruciate-retaining (CR) or high-flexion posterior cruciate-substituting (PS) knee implants. A total of 253 knees (CR group: 159 vs. PS group: 94) were available for examination over a mean...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Gun-Woo, Jin, Quan He, Lim, Jun-Hyuk, Song, Eun-Kyoo, Seon, Jong-Keun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985143/
https://www.ncbi.nlm.nih.gov/pubmed/33753767
http://dx.doi.org/10.1038/s41598-021-85892-1
_version_ 1783668180389986304
author Kim, Gun-Woo
Jin, Quan He
Lim, Jun-Hyuk
Song, Eun-Kyoo
Seon, Jong-Keun
author_facet Kim, Gun-Woo
Jin, Quan He
Lim, Jun-Hyuk
Song, Eun-Kyoo
Seon, Jong-Keun
author_sort Kim, Gun-Woo
collection PubMed
description The aim of this study was to compare the long-term implant survival and outcomes in patients with high-flexion cruciate-retaining (CR) or high-flexion posterior cruciate-substituting (PS) knee implants. A total of 253 knees (CR group: 159 vs. PS group: 94) were available for examination over a mean follow-up of 10 years. Clinical outcomes were assessed including the Hospital for Special Surgery score, Knee Society score and Western Ontario and McMaster Universities Osteoarthritis Index score at the final follow-up. Radiologic measurements were also assessed including the hip-knee-ankle angle and radiolucent lines according to the KSS system at the final follow-up. The survival rate was analyzed using the Kaplan–Meier method. At the final follow-up, the mean total HSS scores were similar between the two groups (p = 0.970). The mean hip-knee-ankle angle at the final follow-up was similar between groups (p = 0.601). The 10- and 15-year survival rates were 95.4% and 93.3% in the CR group and 92.7% and 90.9% in the PS group, respectively, with no significant difference. Similar clinical and radiographic outcomes could be achieved with both the high-flexion CR and high-flexion PS total knee designs without a difference in survival rate after a 10-year follow-up.
format Online
Article
Text
id pubmed-7985143
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-79851432021-03-25 No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty Kim, Gun-Woo Jin, Quan He Lim, Jun-Hyuk Song, Eun-Kyoo Seon, Jong-Keun Sci Rep Article The aim of this study was to compare the long-term implant survival and outcomes in patients with high-flexion cruciate-retaining (CR) or high-flexion posterior cruciate-substituting (PS) knee implants. A total of 253 knees (CR group: 159 vs. PS group: 94) were available for examination over a mean follow-up of 10 years. Clinical outcomes were assessed including the Hospital for Special Surgery score, Knee Society score and Western Ontario and McMaster Universities Osteoarthritis Index score at the final follow-up. Radiologic measurements were also assessed including the hip-knee-ankle angle and radiolucent lines according to the KSS system at the final follow-up. The survival rate was analyzed using the Kaplan–Meier method. At the final follow-up, the mean total HSS scores were similar between the two groups (p = 0.970). The mean hip-knee-ankle angle at the final follow-up was similar between groups (p = 0.601). The 10- and 15-year survival rates were 95.4% and 93.3% in the CR group and 92.7% and 90.9% in the PS group, respectively, with no significant difference. Similar clinical and radiographic outcomes could be achieved with both the high-flexion CR and high-flexion PS total knee designs without a difference in survival rate after a 10-year follow-up. Nature Publishing Group UK 2021-03-22 /pmc/articles/PMC7985143/ /pubmed/33753767 http://dx.doi.org/10.1038/s41598-021-85892-1 Text en © The Author(s) 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Kim, Gun-Woo
Jin, Quan He
Lim, Jun-Hyuk
Song, Eun-Kyoo
Seon, Jong-Keun
No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title_full No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title_fullStr No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title_full_unstemmed No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title_short No difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
title_sort no difference of survival between cruciate retaining and substitution designs in high flexion total knee arthroplasty
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7985143/
https://www.ncbi.nlm.nih.gov/pubmed/33753767
http://dx.doi.org/10.1038/s41598-021-85892-1
work_keys_str_mv AT kimgunwoo nodifferenceofsurvivalbetweencruciateretainingandsubstitutiondesignsinhighflexiontotalkneearthroplasty
AT jinquanhe nodifferenceofsurvivalbetweencruciateretainingandsubstitutiondesignsinhighflexiontotalkneearthroplasty
AT limjunhyuk nodifferenceofsurvivalbetweencruciateretainingandsubstitutiondesignsinhighflexiontotalkneearthroplasty
AT songeunkyoo nodifferenceofsurvivalbetweencruciateretainingandsubstitutiondesignsinhighflexiontotalkneearthroplasty
AT seonjongkeun nodifferenceofsurvivalbetweencruciateretainingandsubstitutiondesignsinhighflexiontotalkneearthroplasty