Survival rates and causes of revision in cemented primary total knee replacement: a report from the Norwegian Arthroplasty Register 1994-2009
- PMID: 23632673
- DOI: 10.1302/0301-620X.95B5.30271
Survival rates and causes of revision in cemented primary total knee replacement: a report from the Norwegian Arthroplasty Register 1994-2009
Abstract
We evaluated the rates of survival and cause of revision of seven different brands of cemented primary total knee replacement (TKR) in the Norwegian Arthroplasty Register during the years 1994 to 2009. Revision for any cause, including resurfacing of the patella, was the primary endpoint. Specific causes of revision were secondary outcomes. Three posterior cruciate-retaining (PCR) fixed modular-bearing TKRs, two fixed non-modular bearing PCR TKRs and two mobile-bearing posterior cruciate-sacrificing TKRs were investigated in a total of 17 782 primary TKRs. The median follow-up for the implants ranged from 1.8 to 6.9 years. Kaplan-Meier 10-year survival ranged from 89.5% to 95.3%. Cox's relative risk (RR) was calculated relative to the fixed modular-bearing Profix knee (the most frequently used TKR in Norway), and ranged from 1.1 to 2.6. The risk of revision for aseptic tibial loosening was higher in the mobile-bearing LCS Classic (RR 6.8 (95% confidence interval (CI) 3.8 to 12.1)), the LCS Complete (RR 7.7 (95% CI 4.1 to 14.4)), the fixed modular-bearing Duracon (RR 4.5 (95% CI 1.8 to 11.1)) and the fixed non-modular bearing AGC Universal TKR (RR 2.5 (95% CI 1.3 to 5.1)), compared with the Profix. These implants (except AGC Universal) also had an increased risk of revision for femoral loosening (RR 2.3 (95% CI 1.1 to 4.8), RR 3.7 (95% CI 1.6 to 8.9), and RR 3.4 (95% CI 1.1 to 11.0), respectively). These results suggest that aseptic loosening is related to design in TKR.
Comment in
-
A randomized RSA study concentrating especially on continuous migration.Acta Orthop. 2016 Jun;87(3):262-7. doi: 10.3109/17453674.2016.1166876. Epub 2016 Apr 18. Acta Orthop. 2016. PMID: 27088580 Free PMC article.
Similar articles
-
Decreased Survival of Medial Pivot Designs Compared with Cruciate-retaining Designs in TKA Without Patellar Resurfacing.Clin Orthop Relat Res. 2020 Jun;478(6):1207-1218. doi: 10.1097/CORR.0000000000001120. Clin Orthop Relat Res. 2020. PMID: 31977446 Free PMC article.
-
Increased risk of aseptic loosening for 43,525 rotating-platform vs. fixed-bearing total knee replacements.Acta Orthop. 2017 Dec;88(6):649-656. doi: 10.1080/17453674.2017.1378533. Epub 2017 Sep 20. Acta Orthop. 2017. PMID: 28929828 Free PMC article.
-
Better survival of hybrid total knee arthroplasty compared to cemented arthroplasty.Acta Orthop. 2015;86(6):714-20. doi: 10.3109/17453674.2015.1073539. Epub 2015 Jul 16. Acta Orthop. 2015. PMID: 26179889 Free PMC article.
-
Modes of failure of total knee arthroplasty: registries and realities.J Knee Surg. 2015 Apr;28(2):127-38. doi: 10.1055/s-0034-1396014. Epub 2014 Nov 24. J Knee Surg. 2015. PMID: 25419836 Review.
-
A systematic review and meta-regression of mobile-bearing versus fixed-bearing total knee replacement in 41 studies.Bone Joint J. 2013 Sep;95-B(9):1209-16. doi: 10.1302/0301-620X.95B9.30386. Bone Joint J. 2013. PMID: 23997134 Review.
Cited by
-
Postoperative management of total elbow arthroplasty: Results of a European survey among orthopedic surgeons.PLoS One. 2022 Nov 14;17(11):e0277662. doi: 10.1371/journal.pone.0277662. eCollection 2022. PLoS One. 2022. PMID: 36374842 Free PMC article.
-
Clinical outcomes after using patient specific instrumentation: is it worth the effort? A minimum 5-year retrospective review of 298 PSI knees.Arch Orthop Trauma Surg. 2023 Jun;143(6):3409-3422. doi: 10.1007/s00402-022-04593-0. Epub 2022 Oct 10. Arch Orthop Trauma Surg. 2023. PMID: 36214876 Free PMC article.
-
No difference between mobile and fixed bearing in primary total knee arthroplasty: a meta-analysis.Knee Surg Sports Traumatol Arthrosc. 2022 Sep;30(9):3138-3154. doi: 10.1007/s00167-022-07065-5. Epub 2022 Jul 21. Knee Surg Sports Traumatol Arthrosc. 2022. PMID: 35861866 Free PMC article. Review.
-
Impact of patient and prosthesis characteristics on common reasons for total knee replacement revision: a registry study of 36,626 revision cases from Australia, Sweden, and USA.Acta Orthop. 2022 Jul 5;93:623-633. doi: 10.2340/17453674.2022.3512. Acta Orthop. 2022. PMID: 35819795 Free PMC article.
-
A prospective osseointegration retrieval analysis of second generation cementless shells.J Clin Orthop Trauma. 2022 Jun 3;30:101914. doi: 10.1016/j.jcot.2022.101914. eCollection 2022 Jul. J Clin Orthop Trauma. 2022. PMID: 35734018 Free PMC article. Review. No abstract available.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical