J Knee Surg 2020; 33(09): 892-898
DOI: 10.1055/s-0039-1688784
Original Article

Total Knee Arthroplasty Using a Medial Pivot or Posterior Cruciate-Stabilizing Prosthesis in Chinese Patients

Ding Yuan
1   Department of Emergency Medicine, Qingdao Municipal Hospital Group, Qingdao, Shandong, China
,
Quan-San Zhang
1   Department of Emergency Medicine, Qingdao Municipal Hospital Group, Qingdao, Shandong, China
,
Kun Zhang
2   Department of Urology, Qingdao Eighth People's Hospital, Qingdao, Shandong, China
,
Yan-Wei Cao
3   Department of Urology, Affiliated Hospital of Medical College, Qingdao University, Qingdao, Shandong, China
,
Guan-Hong Chen
4   Department of Orthopedics, Shanxian Central Hospital, Shanxian, Shandong, China
,
Zong-Zhun Ling
1   Department of Emergency Medicine, Qingdao Municipal Hospital Group, Qingdao, Shandong, China
,
Hui Xu
5   Department of Anesthesiology, Affiliated Hospital of Medical College, Qingdao University, Qingdao, China
› Author Affiliations

Abstract

There is an unmet need for a prosthesis designed according to the anatomical parameters of the Chinese population. This study aims to compare the use of a medial pivot (MP) implant or posterior cruciate ligament (PCL) substitution (posterior-stabilized [PS]) prosthesis for unilateral total knee arthroplasty (TKA) in a Chinese population. The medical records of patients undergoing unilateral TKA with an MP implant (Group A) or a PS prosthesis (Group B) at our institution between January 2010 and December 2011 were retrospectively reviewed. Patients were followed up for 5 years. Preoperatively and at the December 2016 postoperative follow-up, the Hospital for Special Surgery scoring system (HSS knee score) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score were measured to evaluate TKA outcomes. This study included 49 patients in Group A and 51 in Group B. As of December 2016, there were no significant differences in the preoperative/postoperative changes in any category of the HSS knee score or WOMAC score between the groups. There were no postoperative complications in either group during the 5-year follow-up. There were no periprosthetic infections or need for revision surgery. One patient in Group A experienced aching and a small amount of effusion in the articular cavity that was attributed to overexertion. In conclusion, there were no significant differences in midterm outcomes in Chinese patients receiving an MP implant or a PS prosthesis for unilateral TKA. These data suggest that the MP and PCL substitution design are safe and effective for unilateral TKA in China.



Publication History

Received: 17 October 2018

Accepted: 27 March 2019

Article published online:
07 May 2019

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 
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