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A mid-term clinical outcome study of the Advance Medial Pivot knee arthroplasty
dc.creator | Karachalios, T. | en |
dc.creator | Roidis, N. | en |
dc.creator | Giotikas, D. | en |
dc.creator | Bargiotas, K. | en |
dc.creator | Varitimidis, S. | en |
dc.creator | Malizos, K. N. | en |
dc.date.accessioned | 2015-11-23T10:32:51Z | |
dc.date.available | 2015-11-23T10:32:51Z | |
dc.date.issued | 2009 | |
dc.identifier | 10.1016/j.knee.2009.03.002 | |
dc.identifier.issn | 0968-0160 | |
dc.identifier.uri | http://hdl.handle.net/11615/28932 | |
dc.description.abstract | The Advance Medial Pivot Total Knee Arthroplasty (Wright Medical Technology, Arlington, Tennessee, USA) has been designed to reproduce modern ideas of knee kinematics. We report a prospective clinical outcome study of 284 arthroplasties in 225 consecutive patients with a mean follow-up of 6.7 years (range 4 to 9 years). For evaluation, both objective and subjective clinical rating systems and serial radiographs were used. At final follow-up, 10 (4.4%) patients (10 knees) only were lost from follow-up and four (11.8%) patients (five knees) had died for reasons unrelated to the surgery with their knees performing well. There was an 82% compliance in the intervals of follow-up evaluation. All patients showed a statistically significant improvement (p=0.01) in the Knee Society clinical rating system, WOMAC questionnaire, SF-12 questionnaire, and Oxford knee score. The majority of patients (92%) were able to perform age-appropriate activities with a mean knee flexion of 117 degrees (range 85 degrees to 135 degrees) at final follow-up. Survival analysis showed a cumulative success rate of 99.1% at 5 years. Two (0.7%) arthoplasties, in which patient selection and surgical errors were identified, were revised due to aseptic loosening, one due to infection and one due to a traumatic dislocation. This study demonstrates satisfactory mid-term clinical results for this knee design. (C) 2009 Elsevier B.V. All rights reserved. | en |
dc.source | Knee | en |
dc.source.uri | <Go to ISI>://WOS:000271822200013 | |
dc.subject | Medial pivot knee design | en |
dc.subject | Knee kinematics | en |
dc.subject | Clinical outcome study | en |
dc.subject | Total | en |
dc.subject | Knee Arthroplasty | en |
dc.subject | TOTAL HIP REPLACEMENTS | en |
dc.subject | TIBIOFEMORAL MOVEMENT | en |
dc.subject | SURVIVORSHIP ANALYSIS | en |
dc.subject | FOLLOW-UP | en |
dc.subject | IMPLANT | en |
dc.subject | FLEXION | en |
dc.subject | FEMUR | en |
dc.subject | RATIONALE | en |
dc.subject | STABILITY | en |
dc.subject | QUALITY | en |
dc.subject | Orthopedics | en |
dc.subject | Sport Sciences | en |
dc.subject | Surgery | en |
dc.title | A mid-term clinical outcome study of the Advance Medial Pivot knee arthroplasty | en |
dc.type | journalArticle | en |
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