Display options
Cite
Omari A, Troelsen A, Husted H, et al. Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system. World J Orthop. 2020;11(10):431-441doi: 10.5312/wjo.v11.i10.431.
Omari, A., Troelsen, A., Husted, H., Nielsen, C. S., & Gromov, K. (2020). Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system. World journal of orthopedics, 11(10), 431-441. https://doi.org/10.5312/wjo.v11.i10.431
Omari, Adam, et al. "Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system." World journal of orthopedics vol. 11,10 (2020): 431-441. doi: https://doi.org/10.5312/wjo.v11.i10.431
Omari A, Troelsen A, Husted H, Nielsen CS, Gromov K. Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system. World J Orthop. 2020 Oct 18;11(10):431-441. doi: 10.5312/wjo.v11.i10.431. eCollection 2020 Oct 18. PMID: 33134106; PMCID: PMC7582111.
Copy Download .nbib Format: NLM
Share it on

World J Orthop. 2020 Oct 18;11(10):431-441. doi: 10.5312/wjo.v11.i10.431. eCollection 2020 Oct 18.

Early clinical outcome and learning curve following unilateral primary total knee arthroplasty after introduction of a novel total knee arthroplasty system.

World journal of orthopedics

Adam Omari, Anders Troelsen, Henrik Husted, Christian Skovgaard Nielsen, Kirill Gromov

Affiliations

  1. Department of Orthopedic Surgery, Copenhagen University Hvidovre Hospital, Copenhagen 2650, Denmark. [email protected].
  2. Department of Orthopedic Surgery, Copenhagen University Hospital Hvidovre, Copenhagen 2650, Denmark.

PMID: 33134106 PMCID: PMC7582111 DOI: 10.5312/wjo.v11.i10.431

Abstract

BACKGROUND: New implants for total knee arthroplasty (TKA) are continuously introduced with the proposed benefit of increased performance and improved outcome. Little information exists on how the introduction of a novel arthroplasty implant affects the perioperative and surgical outcome immediately after implementation.

AIM: To investigate how surgery-related factors and implant positioning were affected by the introduction of a novel TKA system.

METHODS: A novel TKA system was introduced at our institution on 30th November 2015. Seventy-five TKAs performed with the Persona TKA immediately following its introduction by 3 different surgeons (25 TKAs/surgeon) were identified as the Introduction Group. Moreover, the latest 25 TKAs performed by each surgeon prior to introduction of the Persona TKA were identified as the Control Group. A Follow-up Group of 25 TKAs/surgeon was identified starting 1-year after the end of the introduction period. Demographics, surgery-related factors and alignment data were recorded, and intergroup differences compared.

RESULTS: Following introduction of the novel implant, Persona TKA was utilized in 69% (71%), 53% (54%), and 45% (75%) of primary TKA procedures by the three surgeons, respectively (Follow-up Group). Mean surgery time was increased by 28% (

CONCLUSION: Introduction of the new TKA implant increased surgical time and intraoperative blood loss immediately after its introduction. These differences diminished one year after introduction of the new implant. Fewer outliers with respect to FF and TS were seen when using the novel TKA implant. Further studies are needed to investigate if these differences persist over time and correlate with patient reported outcomes.

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Keywords: Component choice; Early outcome; Implant positioning; Knee; Novel introduction; Total knee arthroplasty

Conflict of interest statement

Conflict-of-interest statement: Adam Omari, Christian Skovgaard Nielsen and Kirill Gromov have nothing to disclose; Anders Troelsen reports personal fees from Zimmer Biomet as a consultant and speaker

References

  1. Orthopedics. 2018 Nov 1;41(6):e765-e771 - PubMed
  2. Knee. 2008 Mar;15(2):80-4 - PubMed
  3. Chirurg. 2018 Oct;89(10):755-759 - PubMed
  4. Acta Orthop Suppl. 2012 Oct;83(346):1-39 - PubMed
  5. Cardiovasc Intervent Radiol. 2019 Sep;42(9):1272-1278 - PubMed
  6. Arthroplast Today. 2018 Jul 09;4(3):348-353 - PubMed
  7. Mayo Clin Proc. 2012 Apr;87(4):341-8 - PubMed
  8. PLoS One. 2013 May 06;8(5):e62709 - PubMed
  9. Int J Surg. 2018 May;53:312-319 - PubMed
  10. J Arthroplasty. 2018 Jul;33(7):1989-1993 - PubMed
  11. J Bone Joint Surg Br. 2001 Jan;83(1):45-9 - PubMed
  12. J Bone Joint Surg Am. 2007 Jul;89(7):1497-503 - PubMed
  13. Int Orthop. 2007 Feb;31(1):39-44 - PubMed
  14. Clin Orthop Relat Res. 2015 Jan;473(1):101-8 - PubMed
  15. Ann Transl Med. 2016 Apr;4(7):129 - PubMed
  16. Ugeskr Laeger. 2017 Sep 18;179(38): - PubMed
  17. J Bone Joint Surg Am. 2015 Apr 15;97(8):635-42 - PubMed
  18. Acta Orthop. 2014 Sep;85(5):480-7 - PubMed
  19. J Bone Joint Surg Am. 2011 Dec 21;93 Suppl 3:51-4 - PubMed
  20. EFORT Open Rev. 2019 Jun 3;4(6):351-356 - PubMed
  21. Open Orthop J. 2011 Mar 16;5:80-5 - PubMed
  22. J Bone Joint Surg Am. 2013 Dec 4;95(23):2097-103 - PubMed
  23. Clin Orthop Relat Res. 2012 Jun;470(6):1711-7 - PubMed
  24. PLoS One. 2018 Jun 1;13(6):e0197850 - PubMed

Publication Types