title: Survivorship comparison of all-polyethylene and metal-backed tibial components in cruciate-substituting total knee arthroplasty--Chinese experience.
abstract: Considering its cost saving, the all-polyethylene tibial component is of potential interest in developing countries like China. But to our knowledge, a survivorship comparison of all-polyethylene and metal-backed tibial components in posterior cruciate ligament-substituting total knee arthroplasty (PS-TKA) has not been studied in China previously. Using survivorship analysis, we have studied the midterm outcome of 34 cemented PS-TKA using an all-polyethylene tibial component and of 34 cemented PS-TKA using a metal-backed tibial component which has an identical articular surface with all-polyethylene tibial components. All operations were performed by the same group of surgeons; 58 patients underwent a unilateral operation and five patients a bilateral operation. These patients had a mean follow-up of 5.9 years (range: 5-7 years); three patients were lost to follow-up and one was revised for infection. No significant difference between the two groups was reported regarding HSS scores, ROM, clinical and radiographic parameters measured and survival rates. Although the Asian lifestyle includes more squatting and bending of the knee, the results of this series of TKA using all-polyethylene tibial components in Chinese people are comparable to the satisfactory results of other reported all-polyethylene series whose patients are mainly Western people. Considering its cost saving and excellent clinical result, the all-polyethylene tibial component is of potential interest in developing countries.
authors.affiliation: Department of Orthopaedic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, People's Republic of China.
authors.forename: Bin
authors.initials: B
authors.lastname: Shen
authors.forename: Jing
authors.initials: J
authors.lastname: Yang
authors.forename: Zongke
authors.initials: Z
authors.lastname: Zhou
authors.forename: Pengde
authors.initials: P
authors.lastname: Kang
authors.forename: Liao
authors.initials: L
authors.lastname: Wang
authors.forename: Fuxing
authors.initials: F
authors.lastname: Pei
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000191:economics / Q000295:instrumentation*; D044466:Asian People / Q000208:ethnology; D002484:Cementation; D002681:China; D017046:Cost Savings; D019544:Equipment Failure Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology / Q000601:surgery; D007720:Knee Prosthesis; D008019:Life Style / Q000208:ethnology; D008297:Male; D008670:Metals; D008875:Middle Aged; D020959:Polyethylene; D016119:Posterior Cruciate Ligament / Q000601:surgery; D011474:Prosthesis Design; D013977:Tibia / Q000601:surgery*
chemical_list: D008670:Metals; D020959:Polyethylene