The Influence of Femoral Component Design in the Elimination of Patellar Clunk in Posterior-Stabilized Total Knee Arthroplasty
Patellar clunk occurs after posterior-stabilized total knee arthroplasty and is believed to be a design-related complication. This study was undertaken to define the incidence of patellar clunk with an optimized third-generation, posterior-stabilized prosthesis. One hundred ninety three patients wit...
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Published in | The Journal of arthroplasty Vol. 21; no. 2; pp. 167 - 171 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Inc
01.02.2006
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Abstract | Patellar clunk occurs after posterior-stabilized total knee arthroplasty and is believed to be a design-related complication. This study was undertaken to define the incidence of patellar clunk with an optimized third-generation, posterior-stabilized prosthesis. One hundred ninety three patients with 238 knees were evaluated at a minimum of 2 years after primary total knee arthroplasty with a cemented, NexGen Legacy Posterior-Stabilized prosthesis (Zimmer, Warsaw, Ind). The mean follow-up was 48 months (range, 24-72 months). No patient manifested symptoms of patellar clunk or underwent surgery for any patello-femoral problem. These results support prior evidence that femoral component design is the primary cause of patellar clunk and that modifications incorporated into this third-generation, posterior-stabilized prosthesis has eliminated the problem. |
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AbstractList | Patellar clunk occurs after posterior-stabilized total knee arthroplasty and is believed to be a design-related complication. This study was undertaken to define the incidence of patellar clunk with an optimized third-generation, posterior-stabilized prosthesis. One hundred ninety three patients with 238 knees were evaluated at a minimum of 2 years after primary total knee arthroplasty with a cemented, NexGen Legacy Posterior-Stabilized prosthesis (Zimmer, Warsaw, Ind). The mean follow-up was 48 months (range, 24-72 months). No patient manifested symptoms of patellar clunk or underwent surgery for any patello-femoral problem. These results support prior evidence that femoral component design is the primary cause of patellar clunk and that modifications incorporated into this third-generation, posterior-stabilized prosthesis has eliminated the problem. |
Author | Scott, William N. Insall, John N. Scuderi, Giles R. Mills, Edward L. Clarke, Henry D. Fuchs, Robin |
Author_xml | – sequence: 1 givenname: Henry D. surname: Clarke fullname: Clarke, Henry D. organization: Department of Orthopedics, Mayo Clinic, Scottsdale, Arizona – sequence: 2 givenname: Robin surname: Fuchs fullname: Fuchs, Robin organization: Evergreen Orthopedic Clinic, Kirkland, Washington – sequence: 3 givenname: Giles R. surname: Scuderi fullname: Scuderi, Giles R. organization: Insall Scott Kelly Orthopaedics and Sports Medicine, New York, New York – sequence: 4 givenname: Edward L. surname: Mills fullname: Mills, Edward L. organization: Orthopaedic Care of Long Island, Great Neck, New York – sequence: 5 givenname: William N. surname: Scott fullname: Scott, William N. organization: Insall Scott Kelly Orthopaedics and Sports Medicine, New York, New York – sequence: 6 givenname: John N. surname: Insall fullname: Insall, John N. organization: Insall Scott Kelly Orthopaedics and Sports Medicine, New York, New York |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16520202$$D View this record in MEDLINE/PubMed |
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References | Colizza, Insall, Scuderi (bib13) 1995; 77 Maloney, Schmidt, Sculco (bib8) 2003; 410 Shoji, Shimozaki (bib15) 1996; 11 Aglietti, Baldini, Buzzi (bib16) 2001; 9 Beight, Yao, Hozack (bib1) 1994; 299 Ip, Wu, Tsang (bib7) 2002; 26 Ip, Wu, Tsang (bib18) 2003; 11 Hozack, Rothman, Booth (bib2) 1989; 241 Diduch, Scuderi, Scott (bib5) 1997; 13 Stern, Insall (bib17) 1992; 74 Diduch, Insall, Scott (bib14) 1997; 79 Ewald (bib12) 1989; 248 Lucas, DeLuca, Nazarian (bib4) 1999; 367 Aglietti, Buzzi, Gaudenzi (bib9) 1988; 3 Merchant, Mercer, Jacobsen (bib11) 1974; 56 Pollock, Ammeen, Engh (bib3) 2002; 84 Anderson, Becker, Kieckbusch (bib6) 2002; 17 Insall, Dorr, Scott (bib10) 1989; 248 Ip (10.1016/j.arth.2005.05.024_bib18) 2003; 11 Diduch (10.1016/j.arth.2005.05.024_bib5) 1997; 13 Ewald (10.1016/j.arth.2005.05.024_bib12) 1989; 248 Ip (10.1016/j.arth.2005.05.024_bib7) 2002; 26 Colizza (10.1016/j.arth.2005.05.024_bib13) 1995; 77 Aglietti (10.1016/j.arth.2005.05.024_bib16) 2001; 9 Aglietti (10.1016/j.arth.2005.05.024_bib9) 1988; 3 Hozack (10.1016/j.arth.2005.05.024_bib2) 1989; 241 Pollock (10.1016/j.arth.2005.05.024_bib3) 2002; 84 Stern (10.1016/j.arth.2005.05.024_bib17) 1992; 74 Insall (10.1016/j.arth.2005.05.024_bib10) 1989; 248 Maloney (10.1016/j.arth.2005.05.024_bib8) 2003; 410 Beight (10.1016/j.arth.2005.05.024_bib1) 1994; 299 Anderson (10.1016/j.arth.2005.05.024_bib6) 2002; 17 Merchant (10.1016/j.arth.2005.05.024_bib11) 1974; 56 Lucas (10.1016/j.arth.2005.05.024_bib4) 1999; 367 Diduch (10.1016/j.arth.2005.05.024_bib14) 1997; 79 Shoji (10.1016/j.arth.2005.05.024_bib15) 1996; 11 |
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Assessment of polyethylene damage and osteolysis after a ten-year-minimum follow-up publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199511000-00011 contributor: fullname: Colizza – volume: 74 start-page: 980 year: 1992 ident: 10.1016/j.arth.2005.05.024_bib17 article-title: Posterior stabilized prosthesis. Results after follow-up of nine to twelve years publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199274070-00004 contributor: fullname: Stern – volume: 13 start-page: 166 year: 1997 ident: 10.1016/j.arth.2005.05.024_bib5 article-title: The efficacy of arthroscopy following total knee replacement publication-title: Arthroscopy doi: 10.1016/S0749-8063(97)90150-X contributor: fullname: Diduch – volume: 84 start-page: 2174 year: 2002 ident: 10.1016/j.arth.2005.05.024_bib3 article-title: Synovial entrapment: a complication of posterior stabilized total knee arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200212000-00008 contributor: fullname: Pollock – volume: 11 start-page: 38 year: 2003 ident: 10.1016/j.arth.2005.05.024_bib18 article-title: Early results of posterior-stabilised NexGen Legacy total knee arthroplasty publication-title: J Orthop Surg (Hong Kong) doi: 10.1177/230949900301100109 contributor: fullname: Ip – volume: 79 start-page: 575 year: 1997 ident: 10.1016/j.arth.2005.05.024_bib14 article-title: Total knee replacement in young, active patients. 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A complication of posterior stabilized total knee arthroplasty publication-title: Clin Orthop doi: 10.1097/00003086-198904000-00024 contributor: fullname: Hozack |
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Snippet | Patellar clunk occurs after posterior-stabilized total knee arthroplasty and is believed to be a design-related complication. This study was undertaken to... |
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SubjectTerms | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Knee - adverse effects complications Female Femur Humans Knee Prosthesis Male Middle Aged patellar clunk Postoperative Complications - etiology Postoperative Complications - prevention & control Prosthesis Design results total knee arthroplasty |
Title | The Influence of Femoral Component Design in the Elimination of Patellar Clunk in Posterior-Stabilized Total Knee Arthroplasty |
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