Revision total knee arthroplasty with cemented components and uncemented intramedullary stems

Sixty-three failed total knee arthroplasties in 60 patients (27 females, 33 males; average age, 66 years) were treated consecutively with revision using cemented component fixation and an uncemented stem. Patients were followed for a mean of 5.75 years (range, 2–10 years); none were lost to follow-u...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 18; no. 7 Suppl 1; pp. 27 - 32
Main Authors Shannon, Brian D, Klassen, Jeffrey F, Rand, James A, Berry, Daniel J, Trousdale, Robert T
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.10.2003
Subjects
Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - methods
cement
Cementation
Female
Humans
Male
Middle Aged
Reoperation
revision
total knee arthroplasty
Treatment Outcome
uncemented stems
total knee arthroplasty
uncemented stems
cement
revision
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Summary:Sixty-three failed total knee arthroplasties in 60 patients (27 females, 33 males; average age, 66 years) were treated consecutively with revision using cemented component fixation and an uncemented stem. Patients were followed for a mean of 5.75 years (range, 2–10 years); none were lost to follow-up. There were 12 (19%) re-revisions: 6 (10%) were revised for aseptic loosening, 4 (6%) for recurrent infection, and 2 (3%) for instability. Knee Society Pain Scores improved from 56 to 81, and function scores improved from 49 to 62 points. Latest radiographs in retained knees showed none with definite femoral loosening but 4 with tibial component loosening. Combining those revised for aseptic loosening and radiographic aseptic loosening, mechanical failure occurred in 10 patients (16%).
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0883-5403
1532-8406
DOI:10.1016/S0883-5403(03)00301-2