title: Hybrid total knee arthroplasty: 13-year survivorship of AGC total knee systems with average 7 years followup.
abstract: A retrospective study of 201 anatomic graduated component total knee arthroplasties implanted with hybrid fixation at the authors' center was performed in response to conflicting data in the literature concerning the benefits of a hybrid method. Selection for hybrid fixation was nonrandomized and based on femoral component fit. Survivorship analysis was performed, and rates of radiolucent lines surrounding the femoral component and occurrence of osteolysis were noted. At 7 and 13 years, survivorship with tibial or femoral revision as the end point was 0.9926 and 0.9732, respectively. Radiolucencies were found adjacent to 15 femoral components at final followup (seven in Zone 1, three in Zone 2, five in Zone 3, one in Zone 4, two in Zone 5, zero in Zone 6). Osteolysis was observed in one knee after secondary evaluation. Hybrid fixation in a selected patient population can result in excellent results in middle to long-term followup.
authors.affiliation: The Center for Hip and Knee Surgery, St Francis Hospital, 1199 Hadley Road, Mooresville, IN 46158, USA. pfaris2111@aol.com
authors.forename: Philip M
authors.initials: PM
authors.lastname: Faris
authors.forename: E Michael
authors.initials: EM
authors.lastname: Keating
authors.forename: Alex
authors.initials: A
authors.lastname: Farris
authors.forename: John B
authors.initials: JB
authors.lastname: Meding
authors.forename: Merrill A
authors.initials: MA
authors.lastname: Ritter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007592:Joint Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D010014:Osteolysis / Q000209:etiology; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome