Cruciate retaining versus posterior stabilized total knee arthroplasty after previous high tibial osteotomy

Verfasser / Beitragende:
[Jerry Chen, Ngai Lo, Hwei Chong, Hee Pang, Darren Tay, Pak Chin, Shi-Lu Chia, Seng Yeo]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/12(2015-12-01), 3607-3613
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00167-014-3259-z  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-014-3259-z 
245 0 0 |a Cruciate retaining versus posterior stabilized total knee arthroplasty after previous high tibial osteotomy  |h [Elektronische Daten]  |c [Jerry Chen, Ngai Lo, Hwei Chong, Hee Pang, Darren Tay, Pak Chin, Shi-Lu Chia, Seng Yeo] 
520 3 |a Purpose: This study aimed to investigate the clinical outcome of total knee arthroplasty (TKA) after previous high tibial osteotomy (HTO) using cruciate retaining (CR) versus posterior stabilized (PS) prostheses. Methods: Between 2001 and 2010, 133 patients who underwent TKA after previous HTO were included in this study and prospectively followed up for two years. Two independent assessors recorded the range of motion of the operated knee, anterior-posterior (AP) laxity, medial-lateral (ML) laxity, Oxford Knee Score (OKS), Knee Society Function Score (KSFS) and Knee Society Knee Score (KSKS). Results: Thirty-three patients received CR prostheses, while 100 patients received PS prostheses. The median (inter-quartile range) knee flexion at 6months and 2years post-TKA was 101° (90, 116) and 110° (90, 118), respectively for the CR group, compared to 115° (100, 121) and 118° (108, 125) for the PS group (p=0.010 and p=0.009, respectively). AP and ML laxities were comparable in both groups of patients. While both groups of patients showed improvement in OKS, KSFS and KSKS at 6months and 2years post-TKA, there was no significant difference in these clinical scores between the two groups at both time points of follow-up. None of the 133 patients required revision surgery. Conclusions: Although PS prostheses offer better knee flexion in TKA after previous HTO, the knee stability, clinical scores and revision rate at 6months and 2years post-TKA are comparable between CR and PS prostheses. The authors conclude that CR is an alternative to PS prostheses in patients undergoing TKA after previous HTO. Level of evidence: III. 
540 |a European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 
690 7 |a Cruciate retaining  |2 nationallicence 
690 7 |a Posterior stabilized  |2 nationallicence 
690 7 |a Total knee arthroplasty  |2 nationallicence 
690 7 |a High tibial osteotomy  |2 nationallicence 
700 1 |a Chen  |D Jerry  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Lo  |D Ngai  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Chong  |D Hwei  |u Department of Physiotherapy, Singapore General Hospital, Singapore, Singapore  |4 aut 
700 1 |a Pang  |D Hee  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Tay  |D Darren  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Chin  |D Pak  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Chia  |D Shi-Lu  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
700 1 |a Yeo  |D Seng  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3607-3613  |x 0942-2056  |q 23:12<3607  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3259-z  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chen  |D Jerry  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lo  |D Ngai  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chong  |D Hwei  |u Department of Physiotherapy, Singapore General Hospital, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Pang  |D Hee  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tay  |D Darren  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chin  |D Pak  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Chia  |D Shi-Lu  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yeo  |D Seng  |u Department of Orthopaedic Surgery, Singapore General Hospital, Outram Road, Academia Building Level 4, 119228, Singapore, Singapore  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/12(2015-12-01), 3607-3613  |x 0942-2056  |q 23:12<3607  |1 2015  |2 23  |o 167