Clinical Results of Oxidized Zirconium Femoral Component in TKA. A Review of Long-Term Survival: Review Article.
BACKGROUND
Oxidized zirconium (OxZr) femoral component for total knee arthroplasty (TKA) have been introduced in an attempt to reduce polyethylene wear and secondary osteolysis and improve longevity of implants.


OBJECTIVE
We reviewed clinical studies in literature evaluating OxZr femoral component for TKA. The aim of this review was to evaluate the clinical outcome and survival rate of TKA with an OxZr femoral component.


METHODS
A review of the existing literature was undertaken to collect data on the OxZr femoral component in order to provide a better understanding of its performance. Of 34 studies published in the literature, 8 met the eligibility criteria and were included in the final analysis.


RESULTS
Findings indicated that the mean Knee Society knee score improved in all series from preoperative to postoperative evaluation. The postoperative Knee Society knee score reported range from 84 to 95 and mean postoperative Knee Society functional score range from 74 to 90. The revision rate with this implant is low with up to 12.6 years of follow-up, with three revisions in total. The survival rate ranged from 100-98.7% at 5-7 years to 97.8% at 10 years.


CONCLUSIONS
Excellent clinical outcome and high survival rate has been demonstrated for OxZr femoral component in TKA. No adverse reaction has been described for this new material.
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Roberto
R
Civinini
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Fabrizio
F
Matassi
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Christian
C
Carulli
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Luigi
L
Sirleo
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Andrea Cozzi
AC
Lepri
Orthopedic Clinic, Department of Surgical Science and Translational Medicine, University of Florence, Largo P. Palagi 1, 50139 Florence, Italy.
Massimo
M
Innocenti
TKA; knee; osteolysis; oxidized zirconium; polyethylene wear; tribology