Is medial pivot total knee arthroplasty suitable for patients with valgus knee osteoarthritis?
Complication
Medial pivot
Mid-term results
Range of motion
Total knee arthroplasty
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
03
03
2021
accepted:
11
05
2021
pubmed:
28
5
2021
medline:
18
3
2022
entrez:
27
5
2021
Statut:
ppublish
Résumé
Medial pivot total knee arthroplasty (MP-TKA) is characterized by the ball-in-socket medial tibiofemoral articulation to achieve low wear and to reproduce the medial pivot motion similar to that in the normal knee, and there have been reports of favorable long-term postsurgical outcomes. However, most of these cases concerned varus knees, and the outcomes of MP-TKA in valgus knees are unknown. The objective of this study was to investigate the postoperative outcomes in end-stage valgus knee OA patients who underwent MP-TKA, through comparisons with those who underwent TKA using the same prosthesis for varus deformity. This retrospective, single-center, cohort study analyzed 171 knees of 121 patients who were divided into two groups (valgus knee group: 15 knees (13 patients), varus knee group: 156 knees (109 patients)). Primary outcome measures included the knee joint range of motion (evaluated preoperatively and at every year postoperatively). Secondary outcomes included operative time, laboratory data, estimated blood loss, clinical outcome measures and adverse events. There were no significant differences in age, sex and body mass index, as well as in the postoperative primary and secondary outcome measures between the two groups. The use of MP-TKA featuring ball-in-socket medial tibiofemoral articulation in patients with valgus knee OA showed equally favorable clinical outcomes more than 2 years after surgery, compared to patients with varus knees who received MP-TKA.
Identifiants
pubmed: 34043059
doi: 10.1007/s00590-021-03007-y
pii: 10.1007/s00590-021-03007-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
551-557Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.
Références
Larsen K, Hansen TB, Søballe K, Kehlet H (2012) Patient-reported outcome after fasttrack knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 20(6):1128–1135
doi: 10.1007/s00167-012-1919-4
Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89(4):780–785
doi: 10.2106/00004623-200704000-00012
Ando G, Tsukimoto T (2002) Osteoarthritis of knee joint–standard concept and diagnosis. Clin Calcium 12(1):47–52
pubmed: 15775275
Krackow KA, Jones MM, Teeny SM, Hungerford DS (1991) Primary total knee arthroplasty in patients with fixed valgus deformity. Clin Orthop Relat Res 273:9–18
doi: 10.1097/00003086-199112000-00004
Banks SA, Deckard E, Hodge WA, Meneghini RM (2019) Rationale and results for fixed-bearing pivoting designs in total knee arthroplasty. J Knee Surgery 32(7):590–595
doi: 10.1055/s-0039-1679924
Minoda Y, Kobayashi A, Iwaki H, Miyaguchi M, Kadoya Y, Ohashi H, Takaoka K (2005) Polyethylene wear particle generation in vivo in an alumina medial pivot total knee prosthesis. Biomaterials 26(30):6034–6040
doi: 10.1016/j.biomaterials.2005.03.022
Macheras GA, Galanakos SP, Lepetsos P, Anastasopoulos PP, Papadakis SA (2017) A long term clinical outcome of the medial pivot knee arthroplasty system. Knee 24(2):447–453
doi: 10.1016/j.knee.2017.01.008
Nakamura S, Minoda Y, Nakagawa S, Kadoya Y, Takemura S, Kobayashi A, Mizokawa S, Ohta Y, Takahashi S, Yamamura K, Nakamura H (2017) Clinical results of alumina medial pivot total knee arthroplasty at a minimum follow-up of 10 years. Knee 24(2):434–438
doi: 10.1016/j.knee.2016.12.011
Pritchett JW (2011) Patients prefer a bicruciate-retaining or the medial pivot total knee prosthesis. J Arthroplasty 26(2):224–228
doi: 10.1016/j.arth.2010.02.012
Cooke TDV, Sled EA, Scudamore RA (2007) Frontal plane knee alignment: a call for standardized measurement. J Rheumatol 34:1796–1801
pubmed: 17787049
Moro-oka TA, Shiraishi H, Iwamoto Y, Banks SA (2010) Modified gap-balancing technique in total knee arthroplasty: evaluation of the post-operative coronal laxity. Knee Surg Sports Traumatol Arthrosc 18(3):375–380
doi: 10.1007/s00167-009-0977-8
Clarke HD, Fuchs R, Scuderi GR, Scott WN, Insall JN (2005) Clinical results in valgus in total knee arthroplasty with the “pie crust” technique of lateral tissue releases. J Arthroplasty 20:1010–1014
doi: 10.1016/j.arth.2005.03.036
Mihalko WM, Krackow KA (2000) Anotomic and biomechanical aspects of pie crusting posterolateral structure for vagus deformity correction in total knee arthroplasty: a cadaveric study. J Arthroplasty 15:347–353
doi: 10.1016/S0883-5403(00)90716-2
Archibeck MJ, Camarata D, Trauger J, Allman J, White RE Jr (2003) Indications for lateral retinacular release in total knee replacement. Clin Orthop Relat Res 414:157–161
doi: 10.1097/01.blo.0000079260.91782.96
Iwakiri K, Minami Y, Ohta Y, Kobayashi A (2017) Effect of periarticular morphine injection for total knee arthroplasty: a randomized, double-blind trial. J Arthroplasty 32(6):1839–1844
doi: 10.1016/j.arth.2016.12.034
Thienpont E (2014) Does advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty? Clin Orthop Relat Res 472(11):3417–3423
doi: 10.1007/s11999-014-3810-8
Okuda M, Omokawa S, Tanaka Y, Okahashi K, Akahane M (2012) Validity and reliability of the Japanese orthopaedic association score for osteoarthritic knees. J Orthop Sci 17(6):750–756
doi: 10.1007/s00776-012-0274-0
Nadler SB, Hidalgo JH, Bloch T (1962) Prediction of blood volume in normal human adults. Surgery 51(2):224–232
pubmed: 21936146
Chia S-L, Merican AM, Devadasan B, Strachan RK, Amis AA (2009) Radiographic features predictive of patella maltracking during total knee arthroplasty. Knee Surg Sports Traumatol Arthosc 17:1217–1224
doi: 10.1007/s00167-009-0832-y