A Comparison of Patient Outcomes Following Prosthetic Knee Replacement Using a Variety of Knee Prosthesis: A Ten-Year Study

DOI: 10.4236/ojo.2014.49041   PDF   HTML     3,279 Downloads   4,350 Views  

Abstract

There are several prosthetic knee designs currently in use. There are however very few studies comparing long-term functional outcomes between patients using different models of knee pros-thesis in elective knee replacement. In this study, we used the validated Oxford Knee Score (OKS) to retrospectively compare the outcomes of a total of 1635 patients who had an elective total knee replacement in a large District General Hospital, using fifteen different models of knee prosthesis, over a ten-year period. The average scores reported by all patient groups showed significant improvement by three months post-operatively (pre-operative mean score 15.8, post-operative mean score 39.4, p < 0.05), and remained similar for all models of prosthesis used over the total ten-year period. Based on the OKS as an assessment tool, we report no significant difference in long-term functional outcomes for this group of patients following an elective knee replacement, regardless of the type of prosthesis used.

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El-Osta, B. , Ghoz, A. , Dawson, A. and Andrews, M. (2014) A Comparison of Patient Outcomes Following Prosthetic Knee Replacement Using a Variety of Knee Prosthesis: A Ten-Year Study. Open Journal of Orthopedics, 4, 249-256. doi: 10.4236/ojo.2014.49041.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] The National Joint Registry.
http://www.njrcentre.org.uk/njrcentre/default.aspx
[2] Deirmengian, C.A. and Lonner, J.H. (2010) What’s New in Adult Reconstructive Knee Surgery. Journal of Bone and Joint Surgery. American Volume, 92, 2753-2764.
http://dx.doi.org/10.2106/JBJS.J.01202
[3] Rand, J.A. and Ilstrup, D.M. (1991) Survivorship Analysis of Total Knee Arthroplasty. Cumulative Rates of Survival of 9200 Total Knee Arthroplasties. Journal of Bone and Joint Surgery, American Volume, 73, 397-409.
[4] Tsao, A., Mintz, L., McRae, C.R., Stulberg, S.D. and Wright, T. (1993) Failure of the Porous-Coated Anatomic Prosthesis in Total Knee Arthroplasty Due to Severe Polyethylene Wear. Journal of Bone and Joint Surgery. American Volume, 75, 19-26.
[5] Innocenti, M., Civinini, R., Carulli, C., Matassi, F. and Villano, M. (2010) The 5-Year Results of an Oxidized Zirconium Femoral Component for TKA. Clinical Orthopaedics and Related Research, 468, 1258-1263.
http://dx.doi.org/10.1007/s11999-009-1109-y
[6] Roualdes, O., Duclos, M.E., Gutknecht, D., Frappart, L., Chevalier, J. and Hartmann, D.J. (2010) In Vitro and in Vivo Evaluation of an Alumina-Zirconia Composite for Arthroplasty Applications. Biomaterials, 31, 2043-2054.
http://dx.doi.org/10.1016/j.biomaterials.2009.11.107
[7] Kim, Y.H., Choi, Y. and Kim, J.S. (2011) Comparison of a Standard and a Gender-Specific Posterior Cruciate-Substituting High-Flexion Knee Prosthesis. A Prospective, Randomized, Short-Term Outcome Study. Journal of Bone and Joint Surgery. American Volume, 93, e12.
[8] Robertsson, O., Lewold, S., Knutson, K. and Lidgren, L. (2000) The Swedish Knee Arthroplasty Project. Acta Orthopaedica Scandinavica, 71, 7-18.
http://dx.doi.org/10.1080/00016470052943829
[9] Dawson, J., Fitzpatrick, R., Murray, D. and Carr, A. (1998) Questionnaire on the Perceptions of Patients about Total Knee Replacement. Journal of Bone and Joint Surgery. British Volume, 80, 63-69.
http://dx.doi.org/10.1302/0301-620X.80B1.7859
[10] Dunbar, M.J., Robertsson, O., Ryd, L. and Lidgren, L. (2000) Translation and Validation of the Oxford-12 Item Knee Score for Use in Sweden. Acta Orthopaedica Scandinavica, 71, 268-274.
http://dx.doi.org/10.1080/000164700317411861
[11] Naal, F.D., Impellizzeri, F.M., Sieverding, M., Loibl, M., von Knoch, F., Mannion, A.F., Leunig, M. and Munzinger, U. (2009) The 12-Item Oxford Knee Score: Cross-Cultural Adaptation into German and Assessment of Its Psychometric Properties in Patients with Osteoarthritis of the Knee. Osteoarthritis Cartilage, 17, 49-52.
http://dx.doi.org/10.1016/j.joca.2008.05.017
[12] Murray, D.W., Fitzpatrick, R., Rogers, K., Pandit, H., Beard, D.J., Carr, A.J. and Dawson, J. (2007) The Use of the Oxford Hip and Knee Scores. Journal of Bone and Joint Surgery, British Volume, 89, 1010-1014.
http://dx.doi.org/10.1302/0301-620X.89B8.19424
[13] Kim, Y.H., Choi, Y., Kwon, O.R. and Kim, J.S. (2009) Functional Outcome and Range of Motion of High-Flexion Posterior Cruciate-Retaining and High-Flexion Posterior Cruciate-Substituting Total Knee Prostheses. A Prospective, Randomized Study. Journal of Bone and Joint Surgery, American Volume, 91, 753-760.
http://dx.doi.org/10.2106/JBJS.H.00805
[14] Minoda, Y., Aihara, M., Sakawa, A., Fukuoka, S., Hayakawa, K. and Ohzono, K. (2009) Range of Motion of Standard and High-Flexion Cruciate Retaining Total Knee Prostheses. Journal of Arthroplasty, 24, 674-680.
http://dx.doi.org/10.1016/j.arth.2008.02.015
[15] Gioe, T.J., Glynn, J., Sembrano, J., Suthers, K., Santos, E.R. and Singh, J. (2009) Mobile and Fixed-Bearing (All-Polyethylene Tibial Component) Total Knee Arthroplasty Designs. A Prospective Randomized Trial. Journal of Bone and Joint Surgery, American Volume, 91, 2104-2112.
http://dx.doi.org/10.2106/JBJS.H.01442
[16] KAT Trial Group, Johnston, L., MacLennan, G., McCormack, K., Ramsay, C. and Walker, A. (2009) The Knee Arthroplasty Trial (KAT) Design Features, Baseline Characteristics, and Two-Year Functional Outcomes after Alternative Approaches to Knee Replacement. Journal of Bone and Joint Surgery. American Volume, 91, 134-141.
http://dx.doi.org/10.2106/JBJS.G.01074
[17] Harrysson, O.L., Hosni, Y.A. and Nayfeh, J.F. (2007) Custom-Designed Orthopedic Implants Evaluated Using Finite Element Analysis of Patient-Specific Computed Tomography Data: Femoral-Component Case Study. BMC Musculoskeletal Disorders, 8, 91.
http://dx.doi.org/10.1186/1471-2474-8-91

  
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