Long-term outcomes of the Nexgen © posterior stabilized knee: minimum 15 year follow-safe and effective.

Autor: Cohen D; Granovsky Gluskin Orthopedic Division, Sinai Health System, University of Toronto, Toronto, ON, Canada., Greenberg A; Granovsky Gluskin Orthopedic Division, Sinai Health System, University of Toronto, Toronto, ON, Canada. arie.greenberg@yahoo.com., Maliarov A; Granovsky Gluskin Orthopedic Division, Sinai Health System, University of Toronto, Toronto, ON, Canada., Seligman D; Granovsky Gluskin Orthopedic Division, Sinai Health System, University of Toronto, Toronto, ON, Canada., Backstein D; Granovsky Gluskin Orthopedic Division, Sinai Health System, University of Toronto, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 Oct; Vol. 33 (7), pp. 2943-2949. Date of Electronic Publication: 2023 Mar 13.
DOI: 10.1007/s00590-023-03514-0
Abstrakt: Purpose: Studying long-term survivorship and functional outcomes for specific prostheses is critical for elucidating areas in need of design improvement. This study reports the long-term of the NexGen Posterior Stabilized (PS) Total Knee implant (TKA) (Zimmer Biomet, Warsaw IN) Performed by a single surgeon.
Methods: Data from patients treated with the NexGen PS TKA between January 2003 and December 2005 with a minimal follow-up of 15 years was collected from a prospectively collected database. Survivorship rates and Oxford Knee Scores (OKS) were obtained for those patients available for follow-up.
Results: Ninety-five patients met the inclusion criteria during the study period. OKS was available for 44 (46%) patients. Ten patients required revision surgery (10.52%). Implant-specific survivorship of all cases that were reviewed was 98%. Survivorship of implants in patients that we were able to reach, or deceased patients was 93%. The average Oxford Knee Score was 39.1 (14-48. SD ± 7.70) with 48 being the maximal score.
Conclusion: Despite some concerns about durability of this implant, good longevity and function was demonstrated. At a minimum of 15 years follow-up in this cohort. Given these results design features of this system should be considered for future generations of implants.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE