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Excellent survival and good outcomes at 15 years using the Press Fit Condylar Sigma total knee replacement
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dc.contributor.author | Oliver, William M. | |
dc.contributor.author | Arthur, Calum H. C. | |
dc.contributor.author | Wood, Alexander M. | |
dc.contributor.author | Clayton, Robert A. E. | |
dc.contributor.author | Brenkel, Ivan J. | |
dc.contributor.author | Walmsley, Phil | |
dc.date.accessioned | 2019-03-27T00:37:42Z | |
dc.date.available | 2019-03-27T00:37:42Z | |
dc.date.issued | 2018-03-27 | |
dc.identifier | 252703384 | |
dc.identifier | 68491d03-a514-492b-a959-36914986e46c | |
dc.identifier | 85045759892 | |
dc.identifier.citation | Oliver , W M , Arthur , C H C , Wood , A M , Clayton , R A E , Brenkel , I J & Walmsley , P 2018 , ' Excellent survival and good outcomes at 15 years using the Press Fit Condylar Sigma total knee replacement ' , The Journal of Arthroplasty , vol. In press . https://doi.org/10.1016/j.arth.2018.03.048 | en |
dc.identifier.issn | 0883-5403 | |
dc.identifier.other | crossref: 10.1016/j.arth.2018.03.048 | |
dc.identifier.uri | https://hdl.handle.net/10023/17381 | |
dc.description.abstract | Background: We report 15-year survival, clinical and radiographic follow-up data for the Press Fit Condylar Sigma total knee replacement (PFC Sigma TKR). Methods: Between October 1998 and October 1999, 235 consecutive TKRs were performed in 203 patients. Patients were reviewed at a specialist nurse-led clinic prior to surgery, and at five, eight-to-ten and 15 years postoperatively. Clinical outcomes, including Knee Society Score (KSS), were recorded prospectively at each clinic visit, and radiographs were obtained. Results: Of our initial cohort, 99 patients (118 knees) were alive at 15 years, and 31 patients (34 knees) were lost to follow-up. 13 knees (5.5%) were revised; five (2.1%) for infection, seven (3%) for instability and one (0.4%) for aseptic loosening. Cumulative survival with the end-point of revision for any reason was 92.3% at 15 years, and with revision for aseptic failure as the end-point was 94.4%. The mean KSS knee score was 77.4 (33 to 99) at 15 years, compared with 31.7 (2 to 62) preoperatively. Of 71 surviving knees for which X-rays were available, 12 (16.9%) had radiolucent lines and one (1.4%) demonstrated clear radiographic evidence of loosening. Conclusion: The PFC Sigma TKR represents a durable, effective option for patients undergoing knee arthroplasty, with excellent survival and good clinical and radiographic outcomes at 15 years. | |
dc.format.extent | 443312 | |
dc.language.iso | eng | |
dc.relation.ispartof | The Journal of Arthroplasty | en |
dc.subject | Total knee arthroplasty | en |
dc.subject | Implant survival | en |
dc.subject | Patient-reported outcome measures | en |
dc.subject | RA0421 Public health. Hygiene. Preventive Medicine | en |
dc.subject | RD Surgery | en |
dc.subject | NDAS | en |
dc.subject | SDG 3 - Good Health and Well-being | en |
dc.subject.lcc | RA0421 | en |
dc.subject.lcc | RD | en |
dc.title | Excellent survival and good outcomes at 15 years using the Press Fit Condylar Sigma total knee replacement | en |
dc.type | Journal article | en |
dc.contributor.institution | University of St Andrews. School of Medicine | en |
dc.identifier.doi | 10.1016/j.arth.2018.03.048 | |
dc.description.status | Peer reviewed | en |
dc.date.embargoedUntil | 2019-03-27 |
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