Influence of polyethylene constraint on tibial component fixation in total knee arthroplasty: follow-up report after 5 years.
The influence of articulating surface design of AMK total knee prosthesis (DePuy, Johnson & Johnson) on migration and radiographic outcome at 5 years was evaluated. The knees were randomly allocated to receive a flat or a concave insert with retention of the posterior cruciate ligament when preoperative deformity was less severe and either a concave or a posterior-stabilized insert with resection of the posterior cruciate ligament when deformity was more pronounced. In 64 knees, migration was measured with radiostereometry. The posterior-stabilized component displayed more varus-valgus tilting than the concave insert. Other statistically significant differences in migration were not seen. Radiolucent lines were frequently seen without differences between prosthesis groups.
Saari
Tuuli
T
Department of Orthopaedics, Sahlgrenska University Hospital, Göteborg University, Göteborg, Sweden.
Uvehammer
Johan
J
Carlsson
Lars V
LV
Regnér
Lars
L
Kärrholm
Johan
J
D019644:Arthroplasty, Replacement, Hip; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging; D007720:Knee Prosthesis; D020959:Polyethylene; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D013977:Tibia
D020959:Polyethylene