Comparison of Revision Rates Due to Aseptic Loosening between High-Flex and Conventional Knee Prostheses
In: Knee Surgery & Related Research, Jg. 30 (2018-06-01), Heft 2, S. 161-166
Online
unknown
Zugriff:
Purpose The purpose was to evaluate and compare the revision rate due to aseptic loosening between a high-flex prosthesis and a conventional prosthesis. Materials and methods Two thousand seventy-eight knees (1,377 patients) with at least 2 years of follow-up after total knee arthroplasty were reviewed. Two types of implants were selected (LPS-Flex and LPS, Zimmer) to compare revision and survival rates and sites of loosened prosthesis component. Results The revision rate of the LPS-Flex (4.9%) was significantly higher than that of the conventional prosthesis (0.6%) (p<0.001). The 5-, 10-, and 15-year survival rates were 98.9%, 96.2% and 92.0%, respectively, for the LPS-Flex and 99.8%, 98.5% and 93.5%, respectively, for the LPS. The survival rate of the high-flex prosthesis was significantly lower than that of the conventional prosthesis, especially in the mid-term period (range, 5 to 10 years; p=0.002). The loosening rate of the femoral component was significantly higher in the LPS-Flex prosthesis (p=0.001). Conclusions The LPS-Flex had a higher revision rate due to aseptic loosening than the LPS prosthesis in the large population series with a long follow-up. The LPS-Flex should be used carefully considering the risk of femoral component aseptic loosening in the mid-term (range, 5 to 10 years) follow-up period after initial operation.
Titel: |
Comparison of Revision Rates Due to Aseptic Loosening between High-Flex and Conventional Knee Prostheses
|
---|---|
Autor/in / Beteiligte Person: | Young Joon Choi ; Sang Bum Kim ; Suk Kyu Lee ; Bae, Joo-Yul ; Seo, Dong-Kyo ; Ki Won Lee ; Ha, Jung-Ki |
Link: | |
Zeitschrift: | Knee Surgery & Related Research, Jg. 30 (2018-06-01), Heft 2, S. 161-166 |
Veröffentlichung: | Korean Knee Society, 2018 |
Medientyp: | unknown |
ISSN: | 2234-2451 (print) ; 2234-0726 (print) |
Schlagwort: |
|
Sonstiges: |
|