title: Long-term follow-up of anatomic graduated component total knee arthroplasty: a 15- to 20-year survival analysis.
abstract: The aims of this study were to determine survival rate, the clinical performance, and radiologic results of an Anatomic Graduated Component (AGC) total knee arthroplasty (TKA). Survival analysis was assessed by analyzing all hospital records of 211 AGC TKAs in 177 patients after 15 to 20 years. The survival rate was 87%, with failure defined as revision for any reason including infection. The main reasons for failure were infection and failure of the metal-backed patellar component. Clinical evaluation of 30 patients (33 TKAs) and questionnaires of 20 patients (23 TKAs) were taken, showing moderate to good results (mean Knee Society Score, 51; mean Western Ontario and McMaster Universities Osteoarthritis index, 82; mean University of California Los Angeles score, 4). Radiologic evaluation of 13 TKAs in 12 patients showed that none was suspect for loosening. Three knees showed significant medial wear but no clinical complaints. In conclusion, this is one of the first studies showing that AGC total knee prosthesis has good results 15 to 20 years after surgery.
authors.affiliation: Department of Orthopedic Surgery, Martini Hospital Groningen, Van Swietenplein 1, 9700 RM Groningen, the Netherlands.
authors.forename: Maarten R
authors.initials: MR
authors.lastname: Huizinga
authors.forename: Reinoud W
authors.initials: RW
authors.lastname: Brouwer
authors.forename: Roel
authors.initials: R
authors.lastname: Bisschop
authors.forename: Hugo C
authors.initials: HC
authors.lastname: van der Veen
authors.forename: Inge
authors.initials: I
authors.lastname: van den Akker-Scheek
authors.forename: Jos J A M
authors.initials: JJ
authors.lastname: van Raay
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation*; D015331:Cohort Studies; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis / Q000009:adverse effects*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery*; D011475:Prosthesis Failure / Q000639:trends*; D016459:Prosthesis-Related Infections / Q000209:etiology; D011859:Radiography; D012086:Reoperation; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016019:Survival Analysis; D016896:Treatment Outcome