4.6 Article

The introduction period of unicompartmental knee arthroplasty is critical -: A clinical, clinical multicentered, and radiostereometric study of 251 Duracon unicompartmental knee arthroplasties

Journal

JOURNAL OF ARTHROPLASTY
Volume 15, Issue 5, Pages 608-616

Publisher

CHURCHILL LIVINGSTONE INC MEDICAL PUBLISHERS
DOI: 10.1054/arth.2000.6619

Keywords

knee prosthesis; early revision; radiostereometric analysis

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One hundred twenty-eight consecutive knees were operated on with the Duracon unicompartmental knee arthroplasty. Of 111 knees, followed 3 years (range, 1-6 years), 109 knees were satisfactory. Two knees were revised because of progression of osteoarthritis and inexplicable pain. Radiostereometric analysis in 49 knees showed a migration of 0.6 mm after 2 years. The magnitude of migration was lower in comparison with published series. In a multicenter study comprising 4 ether hospitals, there were 8 revisions in 123 operated knees. The reasons were loosening, subsidence, or fracture. These revisions were within 1 year and mostly related to operative technique. Unicompartmental knee arthroplasty is a demanding procedure that needs special experience and includes a risk of early failures during the introduction of a system.

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