Comparison of Patellofemoral Outcomes between Attune and PFC Sigma Designs: A Prospective Matched-Pair Analysis
| Autor: | Debashish Chanda, Ankur Dhiman, Rohan Bidwai, Rajesh N. Maniar, Nishant Sanghavi, Nishit Bhatnagar |
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| Rok vydání: | 2022 |
| Předmět: |
Orthodontics
Matched Pair Analysis Knee Joint business.industry Matched-Pair Analysis medicine.medical_treatment Sigma Patellofemoral joint Patella Osteoarthritis Knee Prosthesis Design Arthroplasty Treatment Outcome medicine Humans Prosthesis design Orthopedics and Sports Medicine Surgery Prospective Studies Range of Motion Articular Arthroplasty Replacement Knee Knee Prosthesis business |
| Zdroj: | Clinics in Orthopedic Surgery. 14:96 |
| ISSN: | 2005-4408 2005-291X |
| Popis: | Attune (DePuy Synthes) prosthesis was designed to overcome patellofemoral complications associated with PFC Sigma (DePuy Synthes) prosthesis. The aim of our study was to compare the incidence of anterior knee pain (AKP), patellofemoral crepitus (PCr), and functional outcome between them.This prospective matched-pair study was conducted between January 2014 and June 2015, during which 75 consecutive Attune total knee arthroplasties (TKAs) were matched with 75 PFC Sigma TKAs based on age, sex, body mass index, pathology, and deformity. A single surgeon performed all the operations with aid of computer navigation, using a posterior-stabilized prosthesis with patellar resurfacing. Outcome was assessed by new Knee Society Score (NKSS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. AKP and PCr were assessed by a patient-administered questionnaire till 2 years of follow-up. Three pairs were lost to follow-up and finally 72 pairs were analyzed.One patient in each group reported AKP and 1 patient from each group had PCr at 2 years postoperatively. None of these patients required additional surgery. The incidence of lateral retinacular release was higher with PFC Sigma (5/72) than Attune (2/72); however, this was statistically not significant (We observed that both Attune and PFC Sigma had a low and comparable incidence of AKP and PCr up to 2 years of follow-up. The Attune group achieved a significantly greater ROM at 3 months postoperatively. At 2 years of follow-up, both prostheses had excellent and comparable clinical and functional results. |
| Databáze: | OpenAIRE |
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