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Long Term Outcome of Total Knee Arthroplasty: The Effect of Polyethylene

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Total Knee Arthroplasty

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Abstract

Total knee arthroplasty (TKA) is the most common procedure for the surgical treatment of end-stage primary osteoarthritis of the knee joint and there are many different implants [1]. The use of TKA has been increasing during the last decade and projection shows even further increases [2]. Europe has confirmed the trend, although this increase may be influenced by cultural and socioeconomic factors [3]. Recently, Gomez-Barrena et al. reported that the frequency of this procedure can vary strongly within the same country [4]. Although macroeconomic factors may influence these observations, which are also seen in other countries [5], part of this variability may be due to patient and surgeon decisions regarding the indication for TKA and this variation is even wider in revision TKA. The number of young patients undergoing primary TKA for obesity is rising, the indications are changing and knowledge is advancing, all of which may account for some differences between countries [1]. All these factors have led to an increase in rates of revision procedures, particularly in the long-term.

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References

  1. Robertsson O, Bizjajeva S, Fenstad AM, Furnes O, Lidgren L, Mehnert F, Odgaard A, Pedersen AB, Havelin LI. Knee arthroplasty in Denmark, Norway and Sweden. A pilot study from the Nordic Arthroplasty Register Association. Acta Orthop Scand. 2010;81:82–9.

    Article  Google Scholar 

  2. Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projection of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89A:780–5.

    Article  Google Scholar 

  3. Kurtz S, Ong K, Lau E, Widmer M, Maravic M, Gómez-Barrena E, et al. International survey of primary and revision total knee replacement. Int Orthop. 2011;35:1783–9.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Gómez-Barrena E, Padilla-Eguiluz NG, García-Rey E, Cordero-Ampuero J. Factors influencing regional variability in the rate of total knee arthroplasty. Knee. 2014;21:236–41.

    Article  PubMed  Google Scholar 

  5. Judge A, Welton NJ, Sandhu J, Ben-Shlomo Y. Equity in access to total joint replacement of the hip and the knee in England: cross-sectional study. BMJ. 2010;341:c4092.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Mohan V, Inacio MC, Namba RS, Sheth D, Paxton EW. Monoblock all-polyethylene tibial components have a lower risk of early revision than metal backed modular components. Acta Orthop Scand. 2013;84:530–6.

    Article  Google Scholar 

  7. Pijls BG, Vlastar ER, Kaptein BL, Nelissen RG. Differences in long-term fixation between mobile-bearing and fixed-bearing knee prostheses at ten to 12 years’ follow-up: a single randomised controlled radiostereommetric trial. J Bone Joint Surg (Br). 2012;94B:1366–71.

    Article  Google Scholar 

  8. Bercik MJ, Joshi A, Parvizi J. Posterior cruciate-retaining versus posterior-stabilized total knee arthroplasty: a meta-analysis. J Arthroplasty. 2013;28:439–44.

    Article  PubMed  Google Scholar 

  9. Lygre SH, Espehaug B, Havelin LI, Vollset SE, Furnes O. Failure of total knee arthroplasty with or without patella resurfacing. Acta Orthop Scand. 2011;82:282–92.

    Article  Google Scholar 

  10. Parratte S, Pagnano MW, Trousdale RT, Berry DJ. Effect of postoperative mechanical axis alignment of the fifteen-year survival of modern, cemented total knee replacements. J Bone Joint Surg Am. 2010;92A:2143–9.

    Article  Google Scholar 

  11. Sharkey PF, Hozack WJ, Rothman RH, Shastri S, Jacoby SM. Why are total knee arthroplasties failing today? Clin Orthop. 2002;404:7–13.

    Article  PubMed  Google Scholar 

  12. Gupta SK, Chu A, Ranawat S, Slamin J, Ranawat CS. Osteolysis after total knee arthroplasty. J Arthroplasty. 2007;22:787–99.

    Article  PubMed  Google Scholar 

  13. Freeman MAR, Swanson SAV, Todd RC. Total knee replacement of the knee using the Freeman-Swanson knee prosthesis. Clin Orthop. 1973;94:153.

    Article  PubMed  Google Scholar 

  14. Thatcher JC, Zhou XM, Walker PS. Inherent laxity in total knee prostheses. J Arthroplasty. 1987;2:199–207.

    Article  CAS  PubMed  Google Scholar 

  15. Berend ME, Ritter MA, Meding JB, Faris PM, Keating EM, Redelman R, Faris GW, Davis KE. Tibial component failure mechanisms in total knee arthroplasty. Clin Orthop. 2004;428:26–34.

    Article  PubMed  Google Scholar 

  16. Hossain F, Patel S, Haddad FS. Midterm assessment of causes and results of revision total knee arthroplasty. Clin Orthop. 2010;468:1221–8.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Fisher J, Jennings LM, Galvin AL, Jin ZM, Stone MH, Ingham E. Polyethylene wear in total knee. Clin Orthop. 2010;468:12–8.

    Article  PubMed Central  PubMed  Google Scholar 

  18. Wimmer MA, Laurent MP, Haman JD, Jacobs JJ, Galante JO. Surface damage versus tibial polyethylene insert conformity. Clin Orthop. 2012;470:1814–25.

    Article  PubMed Central  PubMed  Google Scholar 

  19. Ranawat CS, Flynn Jr WF, Saddler S, Hansrj KK, Maynard MJ. Long-term results of the total knee arthroplasty. A 15-year survivorship study. Clin Orthop. 1993;286:94–102.

    PubMed  Google Scholar 

  20. Pijls BG, Van der Linden-Van der Zwang HMJ, Nelissen RGH. Polyethylene thickness is a risk factor for wear necessitating insert exchange. Int Orthop. 2012;36:1175–80.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Conditt MA, Stein JA, Noble PC. Factors affecting the severity of backside wear of modular tibial inserts. J Bone Joint Surg Am. 2004;86A:305–11.

    Google Scholar 

  22. Bettinson KA, Pindor IM, Moran CG, Weir DJ, Lingard EA. All-polyethylene compared with metal-backed tibial components in total knee arthroplasty at ten years. A prospective, randomized controlled trial. J Bone Joint Surg Am. 2009;91:1587–94.

    Article  PubMed  Google Scholar 

  23. Gioe TJ, Stroemer ES, Santos ER. All-polyethylene and metal-backed tibias have similar outcomes a 10 years: a randomized level I evidence study. Clin Orthop. 2007;455:212–8.

    Article  PubMed  Google Scholar 

  24. Van der Voort P, Pijls BG, Nouta KA, Valstar ER, Jacobs WC, Nelissen RG. A systematic review and meta-regression of mobile-bearing versus fixed-bearing total knee replacement in 41 studies. Bone Joint J. 2013;95B:1209–16.

    Article  Google Scholar 

  25. Aglietti P, Baldini A, Buzzi R, Lup D, De LL. Comparison of mobile-bearing and fixed-bearing total knee arthroplasty: a prospective randomized study. J Arthroplasty. 2005;20:145–53.

    Article  PubMed  Google Scholar 

  26. Woolson ST, Epstein NJ, Huddleston JI. Long-term comparison between mobile-bearing and fixed-bearing total knee arthroplasty. J Arthroplasty. 2011;26:1219–23.

    Article  PubMed  Google Scholar 

  27. Kim YH, Yoon SH, Kim JS. The long-term of simultaneous fixed-bearing and mobile-bearing performed in the same patient. J Bone Joint Surg (Br). 2007;89B:1317–23.

    Article  Google Scholar 

  28. Kalisvaart MM, Pagnano MW, Trousdale RT, Stuart MJ, Hanssen AD. Randomized clinical trial of rotating-platform and fixed-bearing total knee arthroplasty: no clinically detectable difference at five years. J Bone Joint Surg Am. 2012;94:481–9.

    Article  PubMed  Google Scholar 

  29. Garcia-Rey E, Garcia-Cimbrelo E, Cruz-Pardos A. New polyethylenes in total hip replacement: a ten- to 12- year follow-up study. Bone Joint J. 2013;95B:326–32.

    Article  Google Scholar 

  30. Collier MB, Engh CAJR, Hatten KM, Ginn SD, Shells TM, Engh GA. Radiographic assessment of the thickness lost from polyethylene tibial inserts that had been sterilized differently. J Bone Joint Surg Am. 2008;90A:1543–52.

    Article  Google Scholar 

  31. Medel FJ, Kurtz SM, Hozack WJ, Parvizi J, Purtill JJ, Sharkey PF, Mac Donald D, Kraay MJ, Golberg V, Rimnac CM. Gamma inert sterilization: a solution to polyethylene oxidation ? J Bone Joint Surg Am. 2009;91A:839–49.

    Article  Google Scholar 

  32. Muratoglu OK, Bragdon CR, Jasty M, O’Connor DO, Von Knoch RS, Harris WH. Knee-simulator testing of conventional and cross-linked polyethylene tibial inserts. J Arthroplasty. 2004;19:887–97.

    Article  PubMed  Google Scholar 

  33. Hodrik JT, Severson EP, Mc Alister DS, Dahl B, Hofmann AA. Highly crosslinked polyethylene is safe for use in total knee arthroplasty. Clin Orthop. 2008;466:2806–12.

    Article  Google Scholar 

  34. Haider H, Weisenburger JN, Kurtz SM, Rimnac CM, Freedman J, Schroeder DW, Garvin KL. Does vitamin E-stabilized ultrahigh-molecular weight polyethylene address concerns of cross-linked polyethylene total knee arthroplasty? J Arthroplasty. 2012;27:461–9.

    Article  PubMed  Google Scholar 

  35. Ezzet KA, Hermida JC, Colwell Jr CW, D’Lima DD. Oxidized zirconium femoral components reduce polyethylene wear in a knee wear simulator. Clin Orthop. 2004;428:120–4.

    Article  PubMed  Google Scholar 

  36. Hui C, Salmon L, Maeno S, Roe J, Walsh W, Pinczewski L. Five-year comparison of oxidized zirconium and cobalt-chromium femoral components in total knee arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2011;93A:624–30.

    Google Scholar 

  37. Inacio MC, Cafri G, Paxton EW, Kurtz SM, Namba RS. Alternative bearings in total knee arthroplasty: risk of early revision compared to traditional bearings: an analysis of 62,177 primary cases. Acta Orthop Scand. 2013;84:145–52.

    Article  Google Scholar 

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Authors and Affiliations

  1. Orthopaedics Department, Hospital La Paz-Idi Paz, P° Castellana 261, 28046, Madrid, Spain

    Eduardo García-Rey MD, PhD, EBOT, Enrique Gómez-Barrena MD, PhD & Eduardo García-Cimbrelo MD, PhD

Authors
  1. Eduardo García-Rey MD, PhD, EBOT
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  2. Enrique Gómez-Barrena MD, PhD
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  3. Eduardo García-Cimbrelo MD, PhD
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Corresponding author

Correspondence to Eduardo García-Rey MD, PhD, EBOT .

Editor information

Editors and Affiliations

  1. Orthopaedic Department, University of Thessalia, Larissa, Greece

    Theofilos Karachalios

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García-Rey, E., Gómez-Barrena, E., García-Cimbrelo, E. (2015). Long Term Outcome of Total Knee Arthroplasty: The Effect of Polyethylene. In: Karachalios, T. (eds) Total Knee Arthroplasty. Springer, London. https://doi.org/10.1007/978-1-4471-6660-3_17

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  • DOI: https://doi.org/10.1007/978-1-4471-6660-3_17

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6659-7

  • Online ISBN: 978-1-4471-6660-3

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