Hybrid Total Knee Arthroplasty

Kobs, Jeffrey K.; Lachiewicz, Paul F.

doi:10.1097/00003086-199301000-00013

Cited by 25 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To overcome this disadvantage, the hybrid technique was introduced [30]. Early results of hybrid fixation showed promising results at short‐term [18, 19], but other authors reported unacceptably high revision rates of the femoral component [4, 10]. With contemporary TKA, successful results have been reported in several case series at intermediate and long‐term follow‐up [7, 16, 32].…”

Section: Introductionmentioning

confidence: 99%

Better clinical outcomes and overall higher survival with hybrid versus cemented primary total knee arthroplasty: a minimum 15 years follow-up

Lizaur-Utrilla

Miralles‐Muñoz

Ruiz-Lozano

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

PurposeTo compare the clinical outcomes and survival at long‐term between hybrid and cemented primary total knee arthroplasty (TKA). A better clinical outcome and survival following a follow‐up as long as 15 years with the use of hybrid fixation as compared with cemented fixation was hypothesized. MethodsCase–control study of 126 patients with a mean age of 62.4 years who underwent hybrid TKA matched with 126 patients underwent cemented TKA. Clinical outcome was assessed by the Knee Society scores (KSS) and reduced Western Ontario and MacMaster Universities questionnaire (WOMAC). Radiological assessment was made by the Knee Society method. ResultsThe mean follow‐up was 15.7 (range 15–17) years. At the final follow‐up, clinical scores were significantly better in the hybrid group, although the differences were not clinically relevant. Revisions for all reasons were performed in five knees in the hybrid group and 15 knees in the cemented group (p = 0.033). In the hybrid group, there was one aseptic femoral loosening and no aseptic tibial loosening. In the cemented group, the main reasons for aseptic revisions were polyethylene wear (six knees) and tibial loosening (four knees). Cemented fixation was a significant risk factor for aseptic revision (hazard ratio 2.3; 95% CI 1.3–3.7%; p = 0.004). Survival at 15 years for aseptic reasons was 96.5% (95% CI 93.4–98.7%) in hybrid groups and 90.3% (95% CI 88.7–93.9%) in cemented group (p = 0.020). ConclusionAfter a minimum follow‐up of 15 years, hybrid fixation of primary TKA for osteoarthritis provide significantly higher clinical benefits compared with cemented fixation, but the differences were not clinically relevant. Hybrid fixation provides longer overall survival, although the femoral component survival was similar between groups. Level of evidenceIII.

show abstract

Section: Introductionmentioning

confidence: 99%

Better clinical outcomes and overall higher survival with hybrid versus cemented primary total knee arthroplasty: a minimum 15 years follow-up

Lizaur-Utrilla

Miralles‐Muñoz

Ruiz-Lozano

et al. 2020

Knee Surg Sports Traumatol Arthrosc

View full text Add to dashboard Cite

show abstract

Femoral component migration in total knee arthroplasty: Randomized study comparing cemented and uncemented fixation of the Miller‐Galante I design

Nilsson

Kärrholm

Linder

1995

Journal Orthopaedic Research

View full text Add to dashboard Cite

The Miller-Galante I knee replacement was inserted in 25 women and three men (33 knees) with osteoarthrosis. All patients received a TiAlV femoral component with a commercially pure titanium fiber-mesh undersurface. Cemented or cementless fixation was used based on a randomization protocol. Micromotions of the femoral components were recorded with roentgen stereophotogrammetric analysis during the first 2 postoperative years. The magnitude of migration did not differ between cemented and uncemented fixation. The number of nonmigrating prostheses decreased from 21 (12 cemented and nine uncemented) at 3 months to six (three cemented and three uncemented) at 24 months. In both groups, the magnitude of prosthetic tilting about the longitudinal axis (internal-external rotation) was as large as that about the transverse axis (flexion-extension). Rotation into extension was as common as rotation into flexion. The largest translations were recorded at either of the posterior condyles. In 10 uncemented components, radiolucent lines were seen at the distal interface postoperatively. Proximal migration of the femoral component was recorded in these knees, and the width of the lines decreased or the lines disappeared totally at 24 months. After 2 years, lines were noted around four cemented and four uncemented replacements, mainly anteriorly or distally. All of these prostheses migrated. One prosthesis, revised because of malalignment, displayed pronounced migration after an initial period of stability. Bone ingrowth was observed anteriorly and anterodistally despite the presence of motions of 1 mm or more.

show abstract