The Columbus Knee System: 4-Year Results of a New Deep Flexion Design Compared to the NexGen Full Flex Implant

Overview

Journal Arthritis

Specialty Rheumatology

Date 2012 Apr 13

PMID 22496976

Citations 6

Authors

D Goebel

W Schultz

Affiliations

Soon will be listed here.

Abstract

The Columbus knee system is designed as a standard knee implant to allow high flexion without additional bone resection. Between August, 2004 and March, 2010 we performed 109 total knee arthroplasties of the Columbus knee system in 101 consecutive patients suffering from primary arthrosis of the knee. Mean age was 72.4 years in women and 70.3 years in men. Mean followup was 47.3 months. The 4-year results of a group of patients who received the NexGen Full Flex implant operated by the same surgeon were used for comparison. Mean total knee score was Columbus: 175.6 and NexGen Flex: 183.4; P = 0.037. Mean operation time was 53 min for Columbus and 66 min for NexGen Flex; P < 0.001. With new streamlined instruments operative time became 60 min for the Columbus; P > 0.05. Radiological assessment showed no signs of loosening for both groups. Therefore, the Columbus knee system can be recommended for flexion angles up to 140°.

Citing Articles

High early failure rate for a new unicondylar knee system.

Toledo de Araujo L, Freitag J, Kamath A, Sandiford N, Kendoff D Ann Jt. 2024; 8:3.

PMID: 38529219 PMC: 10929342. DOI: 10.21037/aoj-22-18.

10-year follow-up of the Columbus knee prostheses system in a prospective multicenter study.

Fuchs A, Haussermann P, Homig D, Ochs B, Klopfer T, Muller C Arch Orthop Trauma Surg. 2021; 142(10):2875-2883.

PMID: 34505167 PMC: 9474348. DOI: 10.1007/s00402-021-04156-9.

Implant design affects walking and stair navigation after total knee arthroplasty: a double-blinded randomised controlled trial.

Komaris D, Govind C, Murphy A, Clarke J, Ewen A, Leonard H J Orthop Surg Res. 2021; 16(1):177.

PMID: 33676526 PMC: 7936496. DOI: 10.1186/s13018-021-02311-x.

[5-year follow-up of 210 Columbus knee prostheses : A prospective multicentre study].

Fuchs A, Haussermann P, Homig D, Ochs B, Muller C, Helwig P Orthopade. 2018; 47(10):859-866.

PMID: 29947877 DOI: 10.1007/s00132-018-3587-7.

Comparison of ultra-congruent mobile- and fixed-bearing navigation-assisted total knee arthroplasty with minimum 5-year follow-up.

Kim S, Lim J, Ko Y, Song M, Lee H Knee Surg Sports Traumatol Arthrosc. 2016; 24(11):3466-3473.

PMID: 27145772 DOI: 10.1007/s00167-016-4147-5.

References

Hofmann A, Bachus K, Wyatt R . Effect of the tibial cut on subsidence following total knee arthroplasty. Clin Orthop Relat Res. 1991; (269):63-9. View

Gillespie W, Pekarsky B, OConnell D . Evaluation of new technologies for total hip replacement. Economic modelling and clinical trials. J Bone Joint Surg Br. 1995; 77(4):528-33. View

Bisschop R, Brouwer R, van Raay J . Total knee arthroplasty in younger patients: a 13-year follow-up study. Orthopedics. 2010; 33(12):876. DOI: 10.3928/01477447-20101021-13. View

Ronn K, Reischl N, Gautier E, Jacobi M . Current surgical treatment of knee osteoarthritis. Arthritis. 2011; 2011:454873. PMC: 3200113. DOI: 10.1155/2011/454873. View

Gobel D, Schultz W . [Clinical results and economics of two primary total knee replacement systems implanted in standardised surgical technique]. Z Orthop Unfall. 2008; 146(5):602-8. DOI: 10.1055/s-2008-1038609. View

Back D, Cannon S, Hilton A, Bankes M, Briggs T . The Kinemax total knee arthroplasty. Nine years' experience. J Bone Joint Surg Br. 2001; 83(3):359-63. DOI: 10.1302/0301-620x.83b3.11006. View

Katipalli G, Deakin A, Greaves J, Reynolds T, Picard F . One-year followup of 214 total knee arthroplasties with navigated columbus implants. Orthopedics. 2009; 31(10 Suppl 1). View

Callaghan J, ORourke M, Iossi M, Liu S, Goetz D, Vittetoe D . Cemented rotating-platform total knee replacement. a concise follow-up, at a minimum of fifteen years, of a previous report. J Bone Joint Surg Am. 2005; 87(9):1995-8. DOI: 10.2106/JBJS.D.03039. View

Rowley D, McGurty D . A seven-year experience of data collection on the Insall-Burstein II total knee arthroplasty. A prospective study. J Bone Joint Surg Br. 2001; 83(2):185-90. DOI: 10.1302/0301-620x.83b2.10959. View

10.

Konig D, Michael J, Eysel P, Munnich U, Lichtenstein T, Schnurr C . [Computer-assisted joint replacement surgery. Financial and clinical impact for a specialised orthopaedic hospital]. Z Orthop Unfall. 2010; 147(6):669-74. DOI: 10.1055/s-0029-1185916. View

11.

Stulberg S, Yaffe M, Koo S . Computer-assisted surgery versus manual total knee arthroplasty: a case-controlled study. J Bone Joint Surg Am. 2006; 88 Suppl 4:47-54. DOI: 10.2106/JBJS.F.00698. View

12.

Cho S, Youm Y, Park K . Three- to six-year follow-up results after high-flexion total knee arthroplasty: can we allow passive deep knee bending?. Knee Surg Sports Traumatol Arthrosc. 2010; 19(6):899-903. DOI: 10.1007/s00167-010-1218-x. View

13.

Kim Y, Choi Y, Kim J . Range of motion of standard and high-flexion posterior cruciate-retaining total knee prostheses a prospective randomized study. J Bone Joint Surg Am. 2009; 91(8):1874-81. DOI: 10.2106/JBJS.H.00769. View

14.

Tsuji S, Tomita T, Hashimoto H, Fujii M, Yoshikawa H, Sugamoto K . Effect of posterior design changes on postoperative flexion angle in cruciate retaining mobile-bearing total knee arthroplasty. Int Orthop. 2010; 35(5):689-95. PMC: 3080484. DOI: 10.1007/s00264-010-1060-2. View

15.

Haas B, Dennis D, Komistek R, Brumley 2nd J, Hammill C . Range of motion of posterior-cruciate-substituting total knee replacements: the effect of bearing mobility. J Bone Joint Surg Am. 2001; 83-A Suppl 2(Pt 1):51-5. DOI: 10.2106/00004623-200100021-00011. View

16.

Hazaki S, Yokoyama Y, Inoue H . A radiographic analysis of anterior-posterior translation in total knee arthroplasty. J Orthop Sci. 2002; 6(5):390-6. DOI: 10.1007/s007760170004. View

17.

Brassard M, Insall J, Scuderi G, Colizza W . Does modularity affect clinical success? A comparison with a minimum 10-year followup. Clin Orthop Relat Res. 2001; (388):26-32. View

18.

Martin A, von Strempel A . [CT-based and CT-free navigation in total knee arthroplasty--a prospective comparative study with respects to clinical and radiological results]. Z Orthop Ihre Grenzgeb. 2005; 143(3):323-8. DOI: 10.1055/s-2005-836568. View

19.

Insall J, Dorr L, Scott R, Scott W . Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989; (248):13-4. View

20.

Lee B, Kim J, Lee S, Jung K, Lee D, Cha E . High-flexion total knee arthroplasty improves flexion of stiff knees. Knee Surg Sports Traumatol Arthrosc. 2010; 19(6):936-42. DOI: 10.1007/s00167-010-1272-4. View