The long-term results of use of the posterior stabilized total knee prosthesis were evaluated with regard to clinical performance, survival of the implant, polyethylene wear, osteolysis, and loosening. 120 patients had 165 primary total knee arthroplasties, with insertion of a posterior stabilized total knee prosthesis with a metal-backed tibial component with cement, between March 1981 and March 1983. 37 patients (53 knees) subsequently died, 5 patients (6 knees) were lost to follow-up, 3 patients (3 knees) refused evaluation, and one patient (2 knees) was excluded because of severe medical debilitation. Thus, 74 patients (101 knees) were available for analysis. The mean age of the patients at the time of the operation was 64 years (range, 22 to 81 years). The mean duration of follow-up was 10 years and 8 months (range, 10 years to 11 years and 10 months). Preoperatively, the mean arc of motion was 94 degrees (range, 65 to 130 degrees), compared with 110 degrees (range, 90 to 145 degrees) at the latest follow-up examination. The mean knee score, according to the rating system of The Hospital for Special Surgery, was 51 points (range, 18 to 73 points) preoperatively, compared with 85 points (range, 0 to 100 points) at the latest follow-up examination. When the 4 knees that had a revision are excluded, the mean knee score, according to the rating system of the Knee Society, was 92 points (range, 67 to 100 points) and the mean functional score was 71 points (range, 0 to 100 points) at the latest follow-up examination.(ABSTRACT TRUNCATED AT 250 WORDS)
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The long-term results of use of the posterior stabilized total knee prosthesis were evaluated with regard to clinical performance, survival of the implant, polyethylene wear, osteolysis, and loosening. 120 patients had 165 primary total knee arthroplasties, with insertion of a posterior stabilized total knee prosthesis with a metal-backed tibial component with cement, between March 1981 and March 1983. 37 patients (53 knees) subsequently died, 5 patients (6 knees) were lost to follow-up, 3 patients (3 knees) refused evaluation, and one patient (2 knees) was excluded because of severe medical debilitation. Thus, 74 patients (101 knees) were available for analysis. The mean age of the patients at the time of the operation was 64 years (range, 22 to 81 years). The mean duration of follow-up was 10 years and 8 months (range, 10 years to 11 years and 10 months). Preoperatively, the mean arc of motion was 94 degrees (range, 65 to 130 degrees), compared with 110 degrees (range, 90 to 145 degrees) at the latest follow-up examination. The mean knee score, according to the rating system of The Hospital for Special Surgery, was 51 points (range, 18 to 73 points) preoperatively, compared with 85 points (range, 0 to 100 points) at the latest follow-up examination. When the 4 knees that had a revision are excluded, the mean knee score, according to the rating system of the Knee Society, was 92 points (range, 67 to 100 points) and the mean functional score was 71 points (range, 0 to 100 points) at the latest follow-up examination.(ABSTRACT TRUNCATED AT 250 WORDS)
Copyright remains with the authors and publisher.