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Acta Ortop Bras. 2016 Nov-Dec;24(6):304-308. doi: 10.1590/1413-785220162406146213.

REVISION TOTAL KNEE ARTHROPLASTY USING THE MODERN CONSTRAINED CONDYLAR KNEE PROSTHESIS.

Acta ortopedica brasileira

Naoki Nakano, Tomoyuki Matsumoto, Hirotsugu Muratsu, Kazunari Ishida, Ryosuke Kuroda, Masahiro Kurosaka

Affiliations

  1. . Kobe University, Graduate School of Medicine, Department of Orthopaedic Surgery, Chuo-ku, Kobe, Japan.
  2. . Steel Memorial Hirohata Hospital, Department of Orthopaedic Surgery, Hirohata-ku, Himeji, Japan.
  3. . Kobe Kaisei Hospital, Department of Orthopaedic Surgery, Nada-ku, Kobe, Japan.

PMID: 28924355 PMCID: PMC5594755 DOI: 10.1590/1413-785220162406146213

Abstract

OBJECTIVE: To determine whether the second-generation constrained condylar prosthesis provided satisfactory results in revision total knee arthroplasty.

METHODS: A series of 41 cases of revision total knee arthroplasty using the second-generation constrained condylar knee prosthesis was reviewed. The series comprised 7 men and 34 women with a mean age of 73.2 years. The original diagnosis was predominantly osteoarthritis. The most common reason for revision surgery was aseptic loosening. The mean interval between the primary and revision surgeries was 66.4 months. The mean follow-up period was 49.4 months.

RESULTS: The mean Knee Society knee score improved from 43.8 to 82.9 after revision surgery, the mean Knee Society function score improved from 37.1 to 79.2; the range of motion improved from 95.6° to 105.6° and the radiological femorotibial alignment improved from 181.4° (varus 6.4°) to 174.9° (valgus 0.1°), on average (

CONCLUSION: Revision total knee arthroplasty with the use of the second-generation constrained condylar knee prosthesis yielded reproducible clinical success. Level of Evidence IV, Case series.

Keywords: Arthroplasty; Knee. Knee prosthesis Treatment outcome; replacement

Conflict of interest statement

All the authors declare that there is no potential conflict of interest referring to this article

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