STUDY BETWEEN SEMI-CONSTRAINED TOTAL KNEE ARTHROPLASTY WITH OR WITHOUT INTRAMEDULLARY STEM

Overview

Journal Acta Ortop Bras

Specialty Orthopedics

Date 2022 Sep 12

PMID 36092171

Authors

Rodrigo Sattamini Pires E Albuquerque

Pedro Guilme Teixeira DE Sousa Filho

Rui Felipe Pache DE Moraes

Dalton Roberto DE Melo Franco Filho

Allan Mozella

Hugo Cobra

Vinicius Schott Gameiro

Affiliations

Soon will be listed here.

Abstract

Objective: This research sought to carry out a comparative study observing the clinical and radiographic analysis of primary prostheses of the type TC3 Depuy Johnson with or without a stem during a short-term follow-up.

Methods: The sample was divided into three groups: Group 1 (with stem), Group 2 (without stem) and Group 3 (mixed). Patients were evaluated to assess whether the implants were loosening and a clinical analysis was performed.

Results: Preoperative deformities were predominantly considered severe. The total range of motion in the postoperative period was above 96.7° in the three groups. In the postoperative period, the femoral-tibial angle oscillated on average between 5 to 6° valgus. There was no record of implant loosening for cases treated with stem, and the incidence of loosening was 14.3% for the group without stem and 16.7% among cases in the mixed group.

Conclusion: In general, preoperative deformities were considered severe. In the postoperative period, the total range of motion was above 96.7°. The postoperative femoral-tibial angle obtained an average of 5 to 6° valgus. There is no significant difference in implants loosening in the three groups.

References

Lachiewicz P, Soileau E . Ten-year survival and clinical results of constrained components in primary total knee arthroplasty. J Arthroplasty. 2006; 21(6):803-8. DOI: 10.1016/j.arth.2005.09.008. View

Nam D, Umunna B, Cross M, Reinhardt K, Duggal S, Cornell C . Clinical results and failure mechanisms of a nonmodular constrained knee without stem extensions. HSS J. 2013; 8(2):96-102. PMC: 3715634. DOI: 10.1007/s11420-012-9277-9. View

Crawford D, Law J, Lombardi Jr A, Berend K . Midlevel Constraint Without Stem Extensions in Primary Total Knee Arthroplasty Provides Stability Without Compromising Fixation. J Arthroplasty. 2018; 33(9):2800-2803. DOI: 10.1016/j.arth.2018.03.070. View

Morcos M, Howard J, Lanting B, MacDonald S, Naudie D, McCalden R . Outcomes of Stemmed versus Un-Stemmed Varus-Valgus Constrained Components in Primary Total Knee Arthroplasty. Orthop Res Rev. 2021; 13:9-13. PMC: 7800685. DOI: 10.2147/ORR.S290015. View

Moussa M, Lee Y, Westrich G, Mehta N, Lyman S, Marx R . Comparison of Revision Rates of Non-modular Constrained Versus Posterior Stabilized Total Knee Arthroplasty: a Propensity Score Matched Cohort Study. HSS J. 2017; 13(1):61-65. PMC: 5264581. DOI: 10.1007/s11420-016-9533-5. View

Anderson J, Baldini A, MacDonald J, Pellicci P, Sculco T . Primary constrained condylar knee arthroplasty without stem extensions for the valgus knee. Clin Orthop Relat Res. 2006; 442:199-203. DOI: 10.1097/01.blo.0000185675.99696.29. View

Moussa M, Lee Y, Patel A, Westrich G . Clinical Outcomes Following the Use of Constrained Condylar Knees in Primary Total Knee Arthroplasty. J Arthroplasty. 2017; 32(6):1869-1873. DOI: 10.1016/j.arth.2017.01.001. View

Meneghini R, Mont M, Backstein D, Bourne R, Dennis D, Scuderi G . Development of a Modern Knee Society Radiographic Evaluation System and Methodology for Total Knee Arthroplasty. J Arthroplasty. 2015; 30(12):2311-4. DOI: 10.1016/j.arth.2015.05.049. View

Deshmukh A, Rathod P, Moses M, Snir N, Marwin S, Dayan A . Does a non-stemmed constrained condylar prosthesis predispose to early failure of primary total knee arthroplasty?. Knee Surg Sports Traumatol Arthrosc. 2015; 24(10):3194-3199. DOI: 10.1007/s00167-014-3494-3. View

10.

Jordan L, Kligman M, Sculco T . Total knee arthroplasty in patients with poliomyelitis. J Arthroplasty. 2007; 22(4):543-8. DOI: 10.1016/j.arth.2006.03.013. View

11.

Padgett D, Cottrell J, Kelly N, Gelber J, Farrell C, Wright T . Retrieval analysis of nonmodular constrained tibial inserts after primary total knee replacement. Orthop Clin North Am. 2012; 43(5):e39-43. DOI: 10.1016/j.ocl.2012.07.006. View

12.

Nazarian D, Mehta S, Booth Jr R . A comparison of stemmed and unstemmed components in revision knee arthroplasty. Clin Orthop Relat Res. 2002; (404):256-62. DOI: 10.1097/00003086-200211000-00039. View

13.

Dayan I, Moses M, Rathod P, Deshmukh A, Marwin S, Dayan A . No difference in failure rates or clinical outcomes between non-stemmed constrained condylar prostheses and posterior-stabilized prostheses for primary total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2019; 28(9):2942-2947. DOI: 10.1007/s00167-019-05684-z. View

14.

Anderson J, Baldini A, MacDonald J, Tomek I, Pellicci P, Sculco T . Constrained condylar knee without stem extensions for difficult primary total knee arthroplasty. J Knee Surg. 2007; 20(3):195-8. DOI: 10.1055/s-0030-1248042. View

15.

Ruel A, Ortiz P, Westrich G . Five year survivorship of primary non-modular stemless constrained knee arthroplasty. Knee. 2016; 23(4):716-8. DOI: 10.1016/j.knee.2015.10.010. View

16.

Sculco T . The role of constraint in total knee arthoplasty. J Arthroplasty. 2006; 21(4 Suppl 1):54-6. DOI: 10.1016/j.arth.2006.02.166. View