Review of Kinemax knee arthroplasty performed at the NHS Treatment Centre, Weston-Super-Mare.
As part of the government's initiative to reduce waiting times for major joint surgery in Wales, the Cardiff and Vale NHS Trust sent 224 patients (258 knees) to the NHS Treatment Centre in Weston-Super-Mare for total knee replacement. The Kinemax total knee replacement system was used in all cases. The cumulative survival rate at three years was 79.2% (95% confidence interval (CI) 69.2 to 86.8) using re-operation for any cause as an endpoint and 85.3% (95% CI 75.9 to 91.8) using aseptic revision as an endpoint. This is significantly worse than that recorded in the published literature. These poor results have resulted in a significant impact on our service.
Kempshall
P J
PJ
University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK. Peterjkempshall@hotmail.com
Metcalfe
A
A
Forster
M C
MC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000379:methods / Q000592:standards / Q000706:statistics & numerical data; D019544:Equipment Failure Analysis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D016059:Range of Motion, Articular; D012086:Reoperation / Q000191:economics; D013222:State Medicine / Q000592:standards / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014850:Waiting Lists; D014852:Wales