Semiconstrained posterior-stabilized total knee arthroplasty: indications, risks and benefits in primary and revision surgery

被引:2
|
作者
Moisan, Philippe [1 ]
Barimani, Bardia [2 ]
Al Kindi, Mohammed [2 ]
Mutch, Jennifer [3 ]
Albers, Anthony [3 ]
机构
[1] McGill Univ, Fac Med, Montreal, PQ, Canada
[2] McGill Univ, Dept Orthoped Surg, Montreal, PQ, Canada
[3] St Marys Hosp, Dept Orthoped Surg, Montreal, PQ, Canada
关键词
COMPLEX PRIMARY; CONSTRAINED IMPLANTS; SURVIVAL; COMPONENTS; MINIMUM; INSERTS; HIP;
D O I
10.1503/cjs.000622
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background:The constrained posterior-stabilized (CPS) implant for use in total knee arthroplasty (TKA) has a constraint level midway between that of a posterior-stabilized implant and a valgus-varus-constrained implant; there is currently no consensus on the surgical indications for use of this degree of constraint. We present our experience using this implant at our centre. Methods:We reviewed the charts of patients who received a CPS polyethylene insert during TKA in our centre between January 2016 and April 2020. We collected patient demographic characteristics, surgical indications, pre- and postoperative radiographs, and complications. Results:A total of 85 patients (74 females and 11 males with a mean age of 73 yr [standard deviation 9.4 yr, range 36-88 yr]) (85 knees) received a CPS insert over the study period. Of the 85 cases, 80 (94%) were primary TKA and 5 (6%) were revision TKA. The most common indications for primary CPS use were severe valgus deformity with medial soft-tissue laxity (29 patients [34%]), medial soft-tissue laxity without substantial deformity (27 [32%]) and severe varus deformity with lateral soft-tissue laxity (13 [15%]). The indications for the 5 patients who underwent revision TKA were medial laxity (4 patients) and an iatrogenic lateral condyle fracture (1 patient). Four patients had postoperative complications. The 30-day return to hospital rate was 2.3% (owing to infection and hematoma). A single patient required revision surgery for periprosthetic joint infection. Conclusion:We found excellent short-term survivorship of the CPS polyethylene insert when used for a spectrum of coronal plane ligamentous imbalances with or without pre-operative coronal plane deformities. Long-term follow-up of these cases will be important to identify adverse outcomes such as loosening or polyethylene-related problems.
引用
收藏
页码:E103 / E108
页数:6
相关论文
共 50 条
  • [31] The Cam-Post Dislocation in Posterior-Stabilized Total Knee Arthroplasty A Case Series
    Chen, Jeffrey S.
    Bi, Andrew S.
    Slover, James D.
    Marwin, Scott E.
    Deshmukh, Ajit J.
    BULLETIN OF THE HOSPITAL FOR JOINT DISEASES, 2022, 80 (04): : 263 - 268
  • [32] Posterior-stabilized total knee arthroplasty kinematics and joint laxity: A hybrid biomechanical study
    Sekeitto, Allan R.
    McGale, Jance G.
    Montgomery, Liam A.
    Vasarhelyi, Edward M.
    Willing, Ryan
    Lanting, Brent A.
    ARTHROPLASTY, 2022, 4 (01)
  • [33] Posterior-stabilized total knee arthroplasty kinematics and joint laxity: A hybrid biomechanical study
    Allan R. Sekeitto
    Jance G. McGale
    Liam A. Montgomery
    Edward M. Vasarhelyi
    Ryan Willing
    Brent A. Lanting
    Arthroplasty, 4
  • [34] Sensor Use in Cruciate-Retaining Total Knee Arthroplasty Compared with Posterior-Stabilized Total Knee Arthroplasty: Load Balancing and Posterior Femoral Rollback
    Song, Sang Jun
    Kim, Kang Il
    Park, Cheol Hee
    JOURNAL OF KNEE SURGERY, 2022, 35 (12) : 1349 - 1356
  • [35] Patient satisfaction after posterior-stabilized total knee arthroplasty: A functional specific analysis
    Du, Hui
    Tang, Hao
    Gu, Jian-Ming
    Zhou, Yi-Xin
    KNEE, 2014, 21 (04): : 866 - 870
  • [36] Patellofemoral complications with the Insall-Burstein II posterior-stabilized total knee arthroplasty
    Larson, CM
    Lachiewicz, PF
    JOURNAL OF ARTHROPLASTY, 1999, 14 (03): : 288 - 292
  • [37] Gap measurement in posterior-stabilized total knee arthroplasty with or without a trial femoral component
    Seiju Hayashi
    Yuji Murakami
    Hiroyuki Inoue
    Hiroo Nobutou
    Koji Nishida
    Yu Mochizuki
    Archives of Orthopaedic and Trauma Surgery, 2014, 134 : 861 - 865
  • [38] Gap measurement in posterior-stabilized total knee arthroplasty with or without a trial femoral component
    Hayashi, Seiju
    Murakami, Yuji
    Inoue, Hiroyuki
    Nobutou, Hiroo
    Nishida, Koji
    Mochizuki, Yu
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2014, 134 (06) : 861 - 865
  • [39] Posterior Cruciate-Retaining Versus Posterior-Stabilized Total Knee Arthroplasty: A Meta-Analysis
    Bercik, Michael J.
    Joshi, Ashish
    Parvizi, Javad
    JOURNAL OF ARTHROPLASTY, 2013, 28 (03): : 439 - 444
  • [40] The Natural History of Anterior Knee Pain in 2 Posterior-Stabilized, Modular Total Knee Arthroplasty Designs
    Meftah, Morteza
    Ranawat, Amar S.
    Ranawat, Chitranjan S.
    JOURNAL OF ARTHROPLASTY, 2011, 26 (08): : 1145 - 1148