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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2025, Number 5

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Acta Ortop Mex 2025; 39 (5)

Cemented total knee arthroplasty with mobile bearing for the treatment of primary gonarthrosis: is it a solid treatment option? Long-term follow-up

Ramos-Murillo D, Ramos-Guarderas P, Arteaga-Guerrero G, Vargas-Morante M, Ramos-Murillo P, Peñaherrera-Carrillo C, Endara-Uresta F, Barros-Castro A, Vaca-Pérez P

Language: Spanish
References: 14
Page: 267-272
PDF size: 238.34 Kb.


ABSTRACT

Introduction: Total Knee Arthroplasty (TKA) is one of the most frequently performed orthopedic interventions worldwide, with more than 700,000 primary procedures conducted in 2013. This study aims to demonstrate that TKA with cemented components and mobile bearings is a solid treatment option with low complication rates, good clinical outcomes, and adequate long-term survival. Materials and methods: this retrospective study included 890 cases in 810 patients diagnosed with grade IV gonarthrosis, with a mean age of 67.80 years and a mean follow-up period of 12.5 years. Joint replacement was performed using the Langenbeck approach. Evaluation was both radiological and functional, using the American Knee Society Score (AKSS) and Oxford Knee Score (OKS) scales to demonstrate long-term results. Results: the preoperative clinical AKSS was 58.7, and 94.4 points at 14 years; the preoperative functional AKSS was 56.73, and 72.5 points at 14 years; and the preoperative OKS was 26.77, and 44.2 points at 14 years, with a cumulative survival rate of 98.0% at 14 years, using revision for any reason as the primary endpoint. Conclusion: TKA with mobile bearings for the treatment of grade IV gonarthrosis shows favorable functional outcomes, high long-term survival rates, and low complication rates.


REFERENCES

  1. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007; 89(4): 780-785. doi: 10.2106/JBJS.F.00222

  2. Pereira D, Peleteiro B, Araújo J, Branco J, Santos RA, Ramos E. The effect of osteoarthritis definition on prevalence and incidence estimates: a systematic review. Osteoarthritis Cartilage. 2011; 19(11): 1270-1285. doi: 10.1016/j.joca.2011.08.009

  3. Bozic KJ, Kurtz SM, Lau E, Ong K, Chiu V, Vail TP, et al. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res. 2010; 468(1): 45-51. doi: 10.1007/s11999-009-0945-0

  4. Chang MJ, Lim H, Lee NR, Moon YW. Diagnosis, causes and treatments of instability following total knee arthroplasty. Knee Surg Relat Res. 2014; 26(2): 61-67. doi: 10.5792/ksrr.2014.26.2.61

  5. Kellgren JH, Lawrence JS. Radiological assessment of osteo-arthrosis. Ann Rheum Dis. 1957; 16(4): 494-502. doi: 10.1136/ard.16.4.494

  6. Langenbeck V. Zur resection des kniegellenks. Verhandlungen der Deutschen Gesellschaft fur Churg. 1878; 7: 23-30.

  7. Ewald FC. The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system. Clin Orthop Relat Res. 1989; 248: 9-12. Available from: https://pubmed.ncbi.nlm.nih.gov/2805502/

  8. Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996; 78-B(2): 185-190.

  9. Carothers JT, Kim RH, Dennis DA, Southworth C. Mobile-bearing total knee arthroplasty. J Arthroplasty. 2011; 26(4): 537-542. Available from: https://pubmed.ncbi.nlm.nih.gov/20634039/

  10. Hao D, Wang J. Fixed-bearing vs mobile-bearing prostheses for total knee arthroplasty after approximately 10 years of follow-up: a meta-analysis. J Orthop Surg Res. 2021; 16(1): 437. doi: 10.1186/s13018-021-02560-w

  11. Hantouly AT, Ahmed AF, Alzobi O, Toubasi A, Salameh M, Elmhiregh A, et al. Mobile-bearing versus fixed-bearing total knee arthroplasty: a meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol. 2022; 32(3): 481-495. doi: 10.1007/s00590-021-02999-x

  12. Capella M, Dolfin M, Saccia F. Mobile bearing and fixed bearing total knee arthroplasty. Ann Transl Med. 2016; 4(7): 127. doi: 10.21037/atm.2015.12.64

  13. van Es LJM, Sierevelt IN, Hoornenborg D, van Ooij B, Haverkamp D. The mid-term survival of cemented, uncemented, and hybrid fixation of the ACS mobile bearing total knee arthroplasty. Indian J Orthop. 2022; 56 (10): 1767-1773. doi: 10.1007/s43465-022-00715-3

  14. Huang CH, Liau JJ, Cheng CK. Fixed or mobile-bearing total knee arthroplasty. J Orthop Surg Res. 2007; 2: 1. doi: 10.1186/1749-799x-2-1



EVIDENCE LEVEL

IV. Estudio observacional retrospectivo tipo serie de casos.




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