No clinical benefit of titanium nitride coating in cementless mobile-bearing total knee arthroplasty

Verfasser / Beitragende:
[Ruud van Hove, Richard Brohet, Barend van Royen, Peter Nolte]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/6(2015-06-01), 1833-1840
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3359-9  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3359-9 
245 0 0 |a No clinical benefit of titanium nitride coating in cementless mobile-bearing total knee arthroplasty  |h [Elektronische Daten]  |c [Ruud van Hove, Richard Brohet, Barend van Royen, Peter Nolte] 
520 3 |a Purpose: Titanium nitride (TiN) coating of cobalt-chromium-molybdenum (CoCrMo) implants has shown to improve the biomechanical properties of the implant surface and to reduce adhesive wear in vitro. It is yet unknown whether TiN coating of total knee prosthesis (TKP) affects the postoperative clinical outcome of total knee arthroplasty (TKA). Methods: In a double-blind randomized controlled clinical trial, 101 patients received an uncemented mobile-bearing CoCrMo TKP, either TiN coated or uncoated. Primary outcome measure visual analogue scale (VAS) score for pain, and secondary outcome measures Knee Society Score (KSS), revision rate and adverse events, range of motion of the knee as well as knee circumference and knee skin temperature were assessed 6weeks, 6months, 1year and 5years postoperative. Repeated measures analysis was used to evaluate the postoperative outcome measures over time. Results: There was no difference between the two groups in VAS score, KSS, revision rate, range of motion of the knee, knee circumference and knee skin temperature. There were no adverse events that could be related to the TiN coating. Conclusions: TiN-coated TKP does not influence the postoperative outcome of uncemented mobile-bearing TKA regarding postoperative pain, revision rate, range of motion, swelling and temperature of the knee. Therefore, TiN coating of CoCrMo TKP has no clinical benefit on the outcome of cementless mobile-bearing TKA. Level of evidence: Therapeutic study, Level I. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Titanium nitride  |2 nationallicence 
690 7 |a Mobile-bearing total knee arthroplasty  |2 nationallicence 
690 7 |a Postoperative outcome  |2 nationallicence 
700 1 |a van Hove  |D Ruud  |u Department of Orthopaedics, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
700 1 |a Brohet  |D Richard  |u Research Center Linnaeus Institute, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
700 1 |a van Royen  |D Barend  |u Department of Orthopaedics, VU University Medical Center, Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands  |4 aut 
700 1 |a Nolte  |D Peter  |u Department of Orthopaedics, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1833-1840  |x 0942-2056  |q 23:6<1833  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3359-9  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-014-3359-9  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Hove  |D Ruud  |u Department of Orthopaedics, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Brohet  |D Richard  |u Research Center Linnaeus Institute, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Royen  |D Barend  |u Department of Orthopaedics, VU University Medical Center, Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nolte  |D Peter  |u Department of Orthopaedics, Spaarne Hospital, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/6(2015-06-01), 1833-1840  |x 0942-2056  |q 23:6<1833  |1 2015  |2 23  |o 167