title: Cementless total knee arthroplasty in unselected cases of osteoarthritis and rheumatoid arthritis. A 3-year follow-up study of 103 cases.
abstract: The authors reviewed 103 cementless AGC 2000 total knee arthroplasties in unselected cases of osteoarthritis and rheumatoid arthritis with a follow-up period of 3 years. Excellent or good clinical results were obtained in 96%. The median maximal flexion was 110 degrees. Two aseptic loosenings of the tibial components had been revised prior to this evaluation. Two other patients showed radiographic signs of tibial loosening but were asymptomatic. Undersizing of the tibial component predisposes to subsidence and loosening. One had septic tibial loosening planned for revision. Four had nonprogressive lucent lines beneath the tibial tray but were asymptomatic. No patellar or femoral component loosening was revealed. Undercorrection of preoperative varus deformity did not dispose to tibial loosening or radiolucency, nor influence the clinical result. In terms of survival of the prosthesis the cumulative success rate was 97.1%. When pain and radiographic loosening was also considered, the success rate was 90.7%. These results encourage uncemented use of this prosthesis, but emphasize the importance of good primary prosthetic fit at the tibial side.
authors.affiliation: Department of Orthopaedics, Hillerød Hospital, Denmark.
authors.forename: P T
authors.initials: PT
authors.lastname: Nielsen
authors.forename: E B
authors.initials: EB
authors.lastname: Hansen
authors.forename: K
authors.initials: K
authors.lastname: Rechnagel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001172:Arthritis, Rheumatoid / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010146:Pain / Q000209:etiology; D011183:Postoperative Complications; D011475:Prosthesis Failure