Roentgen stereophotogrammetric analysis: an effective tool to predict implant survival after an all-poly unicompartmental knee arthroplasty—a 10year follow-up study

Verfasser / Beitragende:
[Danilo Bruni, Laura Bragonzoni, Michele Gagliardi, Marco Bontempi, Ibrahim Akkawi, Giovanni Raspugli, Francesco Iacono, Silvio Patella, Maurilio Marcacci]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/11(2015-11-01), 3273-3280
Format:
Artikel (online)
ID: 605460760
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024 7 0 |a 10.1007/s00167-014-3106-2  |2 doi 
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245 0 0 |a Roentgen stereophotogrammetric analysis: an effective tool to predict implant survival after an all-poly unicompartmental knee arthroplasty—a 10year follow-up study  |h [Elektronische Daten]  |c [Danilo Bruni, Laura Bragonzoni, Michele Gagliardi, Marco Bontempi, Ibrahim Akkawi, Giovanni Raspugli, Francesco Iacono, Silvio Patella, Maurilio Marcacci] 
520 3 |a Purpose: The main purpose of the present study was to determine long-term implant fixation of 15 unicompartmental knee arthroplasty (UKAs) with an all-poly tibial component using Roentgen stereophotogrammetric analysis (RSA) at a mean 10-year follow-up. The secondary purpose was to investigate whether the progressive loss of implant's fixation correlates with a reduction in Knee society score (KSS). Methods: Fifteen non-consecutive patients with primary knee osteoarthritis received a UKA with an all-poly tibial component were assessed using KSS scores pre-operatively and post-operatively and RSA on day 2 after surgery, then at 3, 6, and 12months and yearly thereafter. The mean last follow-up was 10years. Results: An increase in maximum total point motion (MTPM) values from 6months to 1year post-operatively was found respect to post-operative reference. Implants' displacement values were always <2mm during the first 6months, and then, two different trends were noticed in revised and non-revised implants. MTPM increase between 1 and 2years of follow-up in non-revised UKAs was always <0.2mm, whereas it was >0.2mm in revised UKAs. A linear and negative correlation with statistical significance was found between MTPM and both clinical and functional KSS scores (p<0.001). Conclusion: Also in a long-term follow-up evaluation, RSA is an effective tool to predict functional results after an all-poly UKA providing also a relevant predictive value at 1year follow-up, and this can be very useful for both patients and surgeons. Level of evidence: Diagnostic studies, Level III. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a All-poly tibial component unicompartmental knee arthroplasty  |2 nationallicence 
690 7 |a Roentgen stereophotogrammetric analysis  |2 nationallicence 
690 7 |a Implant fixation  |2 nationallicence 
690 7 |a Maximum total point motion  |2 nationallicence 
700 1 |a Bruni  |D Danilo  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Bragonzoni  |D Laura  |u Dipartimento di Scienze Biomediche e Neuromotorie (DIBINEM), Univeristà di Bologna, Bologna, Italy  |4 aut 
700 1 |a Gagliardi  |D Michele  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Bontempi  |D Marco  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Akkawi  |D Ibrahim  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Raspugli  |D Giovanni  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Iacono  |D Francesco  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Patella  |D Silvio  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
700 1 |a Marcacci  |D Maurilio  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3273-3280  |x 0942-2056  |q 23:11<3273  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-014-3106-2  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bruni  |D Danilo  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bragonzoni  |D Laura  |u Dipartimento di Scienze Biomediche e Neuromotorie (DIBINEM), Univeristà di Bologna, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Gagliardi  |D Michele  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Bontempi  |D Marco  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Akkawi  |D Ibrahim  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Raspugli  |D Giovanni  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Iacono  |D Francesco  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Patella  |D Silvio  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Marcacci  |D Maurilio  |u Biomechanics and Technological Innovation Laboratory, Codivilla-Putti Research Center, Rizzoli Orthopaedic Institute, Bologna University, Via Di Barbiano 1-10, 40136, Bologna, Italy  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/11(2015-11-01), 3273-3280  |x 0942-2056  |q 23:11<3273  |1 2015  |2 23  |o 167