Results of cementless total knee arthroplasty in patients over 70 years of age.

OBJECTIVE: To analyze the clinical and radiologic results, the survival and complications obtained in 70 year or older patients who underwent cementless total knee arthroplasty (TKA). MATERIAL AND METHOD: An observational study of patients operated between January 2014 and December 2016 was carried...

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Autores: Gómez Aparicio MS, Borrás Cebrián JC, Novoa Parra CD, Pérez Motos S, Blas Dobón JA, Rodrigo Pérez JL
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p10367
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/10367
Access Level:acceso abierto
Palabra clave:Aflojamiento aséptico
Aseptic loosening
Clinically significant results
Prótesis total de rodilla no cementada
Resultados clínicamente significativos
Uncemented total knee prosthesis
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spelling Results of cementless total knee arthroplasty in patients over 70 years of age.Gómez Aparicio MSBorrás Cebrián JCNovoa Parra CDPérez Motos SBlas Dobón JARodrigo Pérez JLAflojamiento asépticoAseptic looseningClinically significant resultsPrótesis total de rodilla no cementadaResultados clínicamente significativosUncemented total knee prosthesisOBJECTIVE: To analyze the clinical and radiologic results, the survival and complications obtained in 70 year or older patients who underwent cementless total knee arthroplasty (TKA). MATERIAL AND METHOD: An observational study of patients operated between January 2014 and December 2016 was carried out according to the Natural Knee model (Zimmer®, USA). The main variables were the Oxford Knee Score, the visual analog scale, the presence of radiolucencies, complications, survival and reasons for revision. RESULTS: Of 104 TKA, 86 were available for revision. The median age was 76 years. The mean follow-up was 5.4 years (range 3.7-6.9). The Oxford Knee Score punctuation showed a median of 17 presurgical (range 0-40) and 37 post surgical (range 5-48), P<.001. The 87.2% of the patients obtained a clinically significant improvement. The median visual analog scale punctuation was 8 for presurgical (range 4-10) and 2 for post surgical (range 1-9), P<.001. The 88.3% of the patients obtained a clinically significant decrease. Three months after the surgery, the 55.81% of the TKAs presented radiolucencies around the tibial plateau. At the end of the follow-up, radiolucencies were present in 30.23% of the TKAs. Survival from all causes was 91.86% at 77.2 months and 96.5% due to aseptic loosening. CONCLUSION: Cementless knee prostheses are a valid option in patients aged 70 or older, presenting good clinical, radiological and survival results.Elsevier Doyma2021info:eu-repo/semantics/articleaheadOfPrintVersionhttps://fisabio.portalinvestigacion.com/publicaciones/10367Revista Espanola de Cirugia Ortopedica y TraumatologiaISSN: 18884415ISSNe: 19888856reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p103672026-06-11T12:45:17Z
dc.title.none.fl_str_mv Results of cementless total knee arthroplasty in patients over 70 years of age.
title Results of cementless total knee arthroplasty in patients over 70 years of age.
spellingShingle Results of cementless total knee arthroplasty in patients over 70 years of age.
Gómez Aparicio MS
Aflojamiento aséptico
Aseptic loosening
Clinically significant results
Prótesis total de rodilla no cementada
Resultados clínicamente significativos
Uncemented total knee prosthesis
title_short Results of cementless total knee arthroplasty in patients over 70 years of age.
title_full Results of cementless total knee arthroplasty in patients over 70 years of age.
title_fullStr Results of cementless total knee arthroplasty in patients over 70 years of age.
title_full_unstemmed Results of cementless total knee arthroplasty in patients over 70 years of age.
title_sort Results of cementless total knee arthroplasty in patients over 70 years of age.
dc.creator.none.fl_str_mv Gómez Aparicio MS
Borrás Cebrián JC
Novoa Parra CD
Pérez Motos S
Blas Dobón JA
Rodrigo Pérez JL
author Gómez Aparicio MS
author_facet Gómez Aparicio MS
Borrás Cebrián JC
Novoa Parra CD
Pérez Motos S
Blas Dobón JA
Rodrigo Pérez JL
author_role author
author2 Borrás Cebrián JC
Novoa Parra CD
Pérez Motos S
Blas Dobón JA
Rodrigo Pérez JL
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Aflojamiento aséptico
Aseptic loosening
Clinically significant results
Prótesis total de rodilla no cementada
Resultados clínicamente significativos
Uncemented total knee prosthesis
topic Aflojamiento aséptico
Aseptic loosening
Clinically significant results
Prótesis total de rodilla no cementada
Resultados clínicamente significativos
Uncemented total knee prosthesis
description OBJECTIVE: To analyze the clinical and radiologic results, the survival and complications obtained in 70 year or older patients who underwent cementless total knee arthroplasty (TKA). MATERIAL AND METHOD: An observational study of patients operated between January 2014 and December 2016 was carried out according to the Natural Knee model (Zimmer®, USA). The main variables were the Oxford Knee Score, the visual analog scale, the presence of radiolucencies, complications, survival and reasons for revision. RESULTS: Of 104 TKA, 86 were available for revision. The median age was 76 years. The mean follow-up was 5.4 years (range 3.7-6.9). The Oxford Knee Score punctuation showed a median of 17 presurgical (range 0-40) and 37 post surgical (range 5-48), P<.001. The 87.2% of the patients obtained a clinically significant improvement. The median visual analog scale punctuation was 8 for presurgical (range 4-10) and 2 for post surgical (range 1-9), P<.001. The 88.3% of the patients obtained a clinically significant decrease. Three months after the surgery, the 55.81% of the TKAs presented radiolucencies around the tibial plateau. At the end of the follow-up, radiolucencies were present in 30.23% of the TKAs. Survival from all causes was 91.86% at 77.2 months and 96.5% due to aseptic loosening. CONCLUSION: Cementless knee prostheses are a valid option in patients aged 70 or older, presenting good clinical, radiological and survival results.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
aheadOfPrintVersion
format article
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/10367
url https://fisabio.portalinvestigacion.com/publicaciones/10367
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Elsevier Doyma
publisher.none.fl_str_mv Elsevier Doyma
dc.source.none.fl_str_mv Revista Espanola de Cirugia Ortopedica y Traumatologia
ISSN: 18884415
ISSNe: 19888856
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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