An 8- to 10-year review of the Rotaglide total knee replacement

Horwitz, Maxim D.; Awan, Safdar Hussain; Chatoo, Minhal; Stott, David J.; Powles, D. P.

doi:10.1007/s00264-007-0492-9

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…Although there is a difference in the revision rates between the two groups (cemented group 2 % and hybrid group 4.9 %), with cemented group having lower rate, the statistical analysis showed no significance in the difference (n.s.). The revision rate of the entire cohort was 3.3 %, similar to that of other studies [13,14,19]. There were no cases of mobile meniscus implant dislocation and no evidence during the follow-up period and also in the last examination of soft tissue impingement.…”

Section: Discussionsupporting

confidence: 86%

“…The shape of the femoral component increases the contact area between the two components throughout flexion [24]. The high congruency between the polyethylene and the femoral and tibial components minimizes the amount of debris from polyethylene wear, which has been associated with bone lysis [13]. The femoral and the tibial components can be fixated with or without cement [24].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Rotaglide mobile-bearing total knee arthroplasty: no difference between cemented and hybrid implantation

Iosifidis

Iliopoulos

Neofytou

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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The hypothesis that the hybrid fixation in a mobile-bearing TKA system might cause increased rate of loosening and finally failure of the arthroplasty was not confirmed. The fixation technique (cemented or hybrid) had no influence on the prosthesis's survivorship, and also on mortality rates, clinical and radiographic outcomes in a mean follow-up time of 9.5 ± 1.4 years. The Rotaglide TKA is a safe and reliable prosthesis regardless the fixation technique.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

The Rotaglide mobile-bearing total knee arthroplasty: no difference between cemented and hybrid implantation

Iosifidis

Iliopoulos

Neofytou

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…Hudd et al [15] also reported no revision in a series of 357 Rotaglide knees, but only 150 attended for follow-up 5-8 years after operation. Horwitz et al [16] reported on 85 Rotaglide knees with a mean follow-up of 8.5 years (range: 0.4-10.1); there were 6 revisions, none of which for aseptic loosening. Wilson et al [17] also reported no aseptic loosening with the Rotaglide in a series of 71 knees with follow-up between 5 and 8.2 years.…”

Section: Discussionmentioning

confidence: 99%

Mid-term results with a highly congruous mobile-bearing knee prosthesis

Lemaire

2009

Knee Surg Sports Traumatol Arthrosc

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Two hundred and six consecutive total knee arthroplasties were performed in 180 patients with a highly congruous mobile-bearing knee prosthesis. At mean follow-up of 78 months (range: 60-102 months), the outcomes of 181 knees in 158 patients were evaluated using the American Knee Society's Knee and Functional scoring system and Radiological scoring system. Mean values for Knee and Function scores were 92.6 and 81.1, respectively versus 51.8 and 43.4 preoperatively; mean flexion range was 113.6 degrees versus 110.8 degrees preoperatively. There were no cases of bearing dislocation and no radiological signs of loosening or osteolysis. Secondary patella resurfacing was done in 7 of 52 knees in which the patella was not primarily resurfaced. Arthroplasty survival with revision for aseptic loosening as the endpoint was 100% (95% CI: 97.7-100) at 5 years and at 8 years (95% CI: 87.2-100); with revision of the arthroplasty for any reason including one revision for infection as the endpoint, survival was 99.5% (95% CI: 96.9-100) at 5 years and at 8 years (95% CI: 86.9-100). The overall results were satisfactory and compared with those of other mobile-bearing knee prostheses featuring full or partial congruence. No significant differences were noted for range of motion, knee scores and function scores between two subsets of knees that received a bearing allowing only rotation or rotation and 5 mm anteroposterior translation. Longer follow-up is needed to evaluate possible benefits of high congruence and of specific modes of bearing mobility with respect to wear and bony fixation.

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“…The Rotaglide Total Knee Arthroplasty was introduced into clinical practice in 1988. It was the first Total knee implant which used a mobile polyethylene fully conforming insert which glided and slide on top of a highly polished tibial component Although there are several reports in the literature regarding long term clinical results of this prosthesis [12][13][14][15][16][17][18][19], to our knowledge there are no studies describing wear patterns of its fully conforming mobile PE insert. Evaluation of wear on the retrieved Polyethylene inserts in knee prostheses has generated a great amount of work since the beginning of the eighties, because these observations have led to a better understanding of the wear mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Wear Evaluation Following Clinical use of Retrieved Polyethylene Mobile Inserts in Rotaglide Total Knee Replacement with a Combined Qualitative and Quantitative Topographic Method

Nikolaides

2018

OROAJ

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Background:The Rotaglide Total Knee System was introduced into clinical practice in 1988. It was the first condylar Total Knee Endoprosthesis with a highly conforming mobile polyethylene insert which rotates and glides on top of a highly polished tibial component, thus theoretically reducing wear. Materials and Methods:We studied the wear of 17 retrieved Rotaglide mobile polyethylene inserts bearings. In all cases The Posterior Cruciate Ligament was preserved. The mean time of in vivo use was 8 years (3 months to 15.6 years). To measure the PE, wear we used a new method of evaluation, by calculating the percentage of contact surface with signs of specific mode of wear.Results: Thinner inserts showed moderate to severe wear after 9.5 years. In 51-85% of the total upper surface delamination dominates, but plastic deformation and pitting to a much extend are also present. Little wear of burnishing type and abrasions develop after 5.5 years mainly in the posterior condyles and in the thin inserts is accompanied by fracture and loss of material. In all bearings, there is no significant backside wear. 18% of the backside surface had no wear, 42% showed some abrasions and scattered areas of burnishing and the remaining 40% is dominated by pitting inside areas of burnishing. Conclusion:Delamination predominantly, combined with polyethylene fracture of the thinner inserts is the main wear pattern of the upper articular surface. In all inserts, there was no significant backside wear.

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An 8- to 10-year review of the Rotaglide total knee replacement

Cited by 10 publications

References 17 publications

The Rotaglide mobile-bearing total knee arthroplasty: no difference between cemented and hybrid implantation

The Rotaglide mobile-bearing total knee arthroplasty: no difference between cemented and hybrid implantation

Mid-term results with a highly congruous mobile-bearing knee prosthesis

Wear Evaluation Following Clinical use of Retrieved Polyethylene Mobile Inserts in Rotaglide Total Knee Replacement with a Combined Qualitative and Quantitative Topographic Method

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