Knee Surg Relat Res.  2012 Mar;24(1):7-13. 10.5792/ksrr.2012.24.1.7.

A Comparison of the Clinical and Radiographic Results of Press Fit Condylar Rotating-Platform High-Flexion and Low Contact Stress Mobile Bearing Prosthesis in Total Knee Arthroplasty: Short term Results

• Nam SW
• Lee YS
• Kwak JH
• Kim NK
• Lee BK

• KMID: 2223438
• DOI: http://doi.org/10.5792/ksrr.2012.24.1.7

Abstract

PURPOSE
This study compared the results of rotating-platform high-flexion (RP-F) total knee arthroplasty with low contact stress (LCS) for clinical and radiographical assessment after a short-term period.
MATERIALS AND METHODS
68 total knee arthroplasties using a RP-F and LCS system were analyzed retrospectively. Thirty-five of the 68 were osteoarthritic knees and were followed-up for more than 2 years. The clinical evaluation included range of motion (ROM), Knee Society Knee Score and Function Score (KSKS and KSFS), tailor position and kneeling. The radiographic evaluation included femorotibial angle, position of implants, radiolucent line and position of patella.
RESULTS
The postoperative ROM, KSKS, and KSFS improved statistically in both implants. Comparing RP-F with LCS there were statistically no differences in ROM (p=0.863), KSKS (p=0.835), KSFS (p=0.535) and tailor position (p=0.489). There were no significant radiographic differences.
CONCLUSIONS
Total knee arthroplasty with RP-F and LCS showed similar clinical and radiographic results; it also showed excellent and predictable results at the short-term follow up. However, in RP-F there was 1 case of early osteolysis, 1 case of patella clunk syndrome and 1 case of painful patella crepitus; therefore, further case studies and follow-up are needed.

Keyword

Knee; Osteoarthritis; Total knee arthroplasty; PFC Sigma RP-F; Low contact stress

MeSH Terms

Arthroplasty
Follow-Up Studies
Knee
Osteoarthritis
Osteolysis
Patella
Prostheses and Implants
Range of Motion, Articular
Retrospective Studies
Ursidae