Abstract

In this study, 117 patients who had received the e.motion FP prosthesis between 2001 and 2003 were followed up for 5.5 years to assess the clinical and radiological outcomes and survival of this mobile platform prosthesis. As this design is intended to improve the mobility of the replaced knee, particular emphasis was placed on the clinical and functional results. The hypothesis was that they would be comparable to the excellent results reported in the literature of state-of-the-art total knee arthroplasty. After 66months, the average Knee Society clinical and functional scores were 93.8 points (KSS-C) and 90.5 (KSS-F) points, respectively. The clinical and radiographical results were excellent, with a low rate of anterior knee pain of 2.3 %.

References

1.
Gidwani
,
S.
and
Fairbank
,
A.
, “
The Orthopaedic Approach to Managing Osteoarthritis of the Knee
,”
BMJ
, Vol.
329
, No.
7476
,
2004
, pp.
1220
1224
. https://doi.org/10.1136/bmj.329.7476.1220
2.
Crockarell
,
J. R.
, Jr.
and
Guyton
,
J. L.
, “
Arthroplasty of Ankle and Knee
,”
Campbell’s Operative Orthopedics
, 10th ed., Vol.
1
,
S. T. Canale, Ed.
,
Mosby, PA
.,
2003
, pp.
243
313
.
3.
Huang
,
C. H.
,
Ma
,
H. M.
,
Liau
,
J. J.
,
Ho
,
F. Y.
, and
Cheng
,
C. K.
, “
Osteolysis in Failed Total Knee Arthroplasty: A Comparison of Mobile Bearing and Fixed Bearing Knees
,”
J. Bone Joint Surg. Am.
, Vol.
84-A
, No.
12
,
2002
, pp.
2224
2229
.
4.
Engh
,
G. A.
. “
Failure of the Polyethylene Bearing Surface of a Total Knee Replacement Within Four Years: A Case Report
,”
J. Bone Joint. Surg. Am.
, Vol.
70
,
1988
, pp.
1093
1096
.
5.
Buechel
,
F. F.
, “
New Jersey Low Contact Stress Knee Replacement System. Ten-Year Evaluation of Meniscal Bearings
,”
Orthop. Clin. North. Am.
, Vol.
20
, No.
2
,
1989
, pp.
147
177
.
6.
Bugbee
,
W. D.
,
Ammeen
,
D. J.
,
Parks
,
N. L.
, and
Engh
,
G. A.
4- to 10-Year Results with the Anatomic Modular Total Knee
,”
Clin. Orthop. Relat. Res.
, Vol.
348
,
1998
, pp.
158
165
. https://doi.org/10.1097/00003086-199803000-00025
7.
Schai
,
P. A.
,
Thornhill
,
T. S.
, and
Scott
,
R. D.
, “
Total Knee Arthroplasty with the PFC System: Results at a Minimum of Ten Years and Survivorship Analysis
,”
J. Bone Joint Surg. Br.
, Vol.
80
, No.
5
,
1998
, pp.
850
858
. https://doi.org/10.1302/0301-620X.80B5.8368
8.
Wright
,
T. M.
and
Bartel
,
D. L.
The Problem of Surface Damage in Polyethylene Total Knee Components
,”
Clin. Orthop. Relat. Res.
, Vol.
205
,
1986
, pp.
67
74
.
9.
Buechel
,
F. F.
and
Pappas
,
M. J.
, “
The New Jersey Low-Contact-Stress Knee Replacement System: Biomechanical Rationale and Review of the First 123 Cemented Cases
,”
Arch. Orthop. Trauma Surg.
, Vol.
105
, No.
4
,
1986
, pp.
197
204
. https://doi.org/10.1007/BF00435480
10.
Ho
,
F. Y.
,
Ma
,
H. M.
,
Liau
,
J. J.
,
Yeh
,
C. R.
, and
Huang
,
C. H.
, “
Mobile Bearing Knees Reduce Rotational Asymmetric Wear
,”
Clin. Orthop. Relat. Res.
, Vol.
462
,
2007
, pp.
143
149
. https://doi.org/10.1097/BLO.0b013e31806dba05
11.
Price
,
A. J.
,
Rees
,
J. L.
,
Beard
,
D.
,
Juszczak
,
E.
,
Carter
,
S.
,
White
,
S.
,
de Steiger
,
R.
,
Dodd
,
C. A.
,
Gibbons
,
M.
,
McLardy-Smith
,
P.
,
Goodfellow
,
J. W.
, and
Murray
,
D. W.
, “
A Mobile Bearing Total Knee Prosthesis Compared with a Fixed Bearing Prosthesis. A Multicentre Single-Blind Randomised Controlled Trial
,”
J. Bone Joint Surg. Br.
, Vol.
85
, No.
1
,
2003
, pp.
62
67
. https://doi.org/10.1302/0301-620X.85B1.13233
12.
Harrington
,
M. A.
,
Hopkinson
,
W. J.
,
Hsu
,
P.
, and
Manion
,
L.
, “
Fixed- vs Mobile-Bearing Total Knee Arthroplasty: Does it Make a Difference? A Prospective Randomized Study
,”
J. Arthroplasty
, Vol.
24
, No.
6 Suppl
,
2009
, pp.
24
27
. https://doi.org/10.1016/j.arth.2009.04.031
13.
Skwara
,
A.
,
Tibesku
,
C. O.
,
Ostermeier
,
S.
,
Stukenborg-Colsman
,
C.
, and
Fuchs-Winkelmann
,
S.
, “
Differences in Patellofemoral Contact Stresses Between Mobile Bearing and Fixed Bearing Total Knee Arthroplasties: A Dynamic InVitro Measurement
,”
Arch. Orthop. Trauma Surg.
, Vol.
129
, No.
7
,
2009
, pp.
901
907
. https://doi.org/10.1007/s00402-008-0757-9
14.
Breugem
,
S. J.
,
Sierevelt
,
I. N.
,
Schafroth
,
M. U.
,
Blankevoort
,
L.
,
Schaap
,
G. R.
, and
van Dijk
,
C. N.
, “
Less Anterior Knee Pain with a Mobile Bearing Prosthesis Compared with a Fixed Bearing Prosthesis
,”
Clin. Orthop. Relat. Res.
, Vol.
466
, No.
8
,
2008
, pp.
1959
1965
. https://doi.org/10.1007/s11999-008-0320-6
15.
Grupp
,
T. M.
,
Miehlke
,
R. K.
,
Hintner
,
M.
,
Schwiesau
,
J.
, and
Kaddick
,
C.
, “
InVitro Knee Wear, Kinematics, and Particle Morphology Among Different bearing Geometries in a Mobile Bearing Knee System
,”
J. ASTM Int.
, Vol.
8
, No.
5
, May
2011
. https://doi.org/10.1520/JAI103304
16.
Jenny
,
J. Y.
and
Boeri
,
C.
, “
Computer-Assisted Implantation of Total Knee Prostheses: A Case-Control Comparative Study with Classical Instrumentation
,”
Comput. Aided Surg.
, Vol.
6
,
2001
, pp.
217
220
. https://doi.org/10.3109/10929080109146086
17.
Stiehl
,
J. B.
,
Hamelynck
,
K. J.
, and
Voorhorst
,
P.E.
, “
International Multi-Centre Survivorship Analysis of Mobile Bearing Total Knee Arthroplasty
,”
Int. Orthop.
, Vol.
30
, No.
3
,
2006
, pp.
190
199
. https://doi.org/10.1007/s00264-005-0053-z
18.
Jacobs
,
W.
, “
Mobile Bearing vs. Fixed Bearing Prostheses for Total Knee Arthroplasty for Post-Operative Functional Status in Patients with Osteoarthritis and Rheumatoid Arthritis
,”
Cochrane Database Syst. Rev.
, Vol.
2
,
2004
, 003130.
19.
Stiehl
,
J. B.
, “
Comparison of Tibial Rotation in Fixed and Mobile Bearing Total Knee Arthroplasty Using Computer Navigation
,”
Int. Orthop.
, Vol.
33
, No.
3
,
2009
, pp.
679
685
. https://doi.org/10.1007/s00264-008-0562-7
20.
Berger
,
R. A.
,
Crossett
,
L. S.
,
Jacobs
,
J. J.
, and
Rubash
,
H. E.
, “
Rotation Causing Patellofemoral Complications after Total Knee Arthroplasty
,”
Clin. Orthop.
, Vol.
356
,
1988
, pp.
144
153
.
21.
Forster
,
M. C.
, “
Patellar Resurfacing in Total Knee Arthroplasty for Osteoarthritis: A Systematic Review
,”
Knee
, Vol.
11
, No.
6
,
2004
, pp.
427
430
. https://doi.org/10.1016/j.knee.2004.03.006
22.
Drees
,
P.
,
Eckardt
,
A.
,
Gay
,
R. E.
,
Gay
,
S.
, and
Huber
,
L. C.
, “
Mechanisms of Disease: Molecular Insights into Aseptic Loosening of Orthopedic Implants
,”
Nat. Clin. Pract. Rheumatol.
, Vol.
3
,
2010
, pp.
165
171
. https://doi.org/10.1038/ncprheum0428
23.
Pearle
,
A. D.
,
Crow
,
M. K.
,
Rakshit
,
D. S.
,
Wohlgemuth
,
J.
, and
Nestor
,
B. J.
, “
Distinct Inflammatory Gene Pathways Induced by Particles
,”
Clin. Orthop. Relat. Res.
, Vol.
458
,
2007
, pp.
194
201
. https://doi.org/10.1097/BLO.0b013e3180320ae8
24.
Gallo
,
J.
,
Havranek
,
V.
, and
Zapletalova
,
J.
, “
Risk Factors for Accelerated Polyethylene Wear and Osteolysis in ABG I Total Hip Arthroplasty
,”
Int. Orthop.
, Vol.
34
, No.
1
,
2010
, pp.
19
26
. https://doi.org/10.1007/s00264-009-0731-3
25.
Ayers
,
D. C.
, “
Maximizing Ultra High Molecular Weight Polyethylene Performance in Total Knee Replacement
,”
Instr. Course Lect.
, Vol.
50
,
2001
, pp.
421
429
.
26.
Morra
,
E. A.
,
Postak
,
P. D.
, and
Greenwald
,
A. S.
, “
The Influence of Mobile Bearing Geometry on the Wear of UHMWPE Tibial Inserts II—A Finite Element Study
,” Orthopaedic Research Laboratories, Cleveland, OH,
1999
.
27.
Morra
,
E. A.
, “
Tibial Plateau Abrasion in Mobile Bearing Knee Systems during Walking Gait: A Finite Element Study
,” Orthopaedic Research Laboratories, Cleveland, OH,
2001
.
28.
Matsuda
,
S.
,
White
,
S. E.
,
Williams
,
V. G.
, II
,
McCarthy
,
D. S.
, and
Whiteside
,
L. A.
, “
Contact Stress Analysis in Meniscal Bearing Total Knee Arthroplasty
,”
J. Arthroplasty
, Vol.
13
, No.
6
,
1998
, pp.
699
706
. https://doi.org/10.1016/S0883-5403(98)80016-8
29.
Delport
,
H. P.
,
Sloten
,
J. V.
, and
Bellemans
,
J.
, “
Comparative Gravimetric Wear Analysis in Mobile versus Fixed Bearing Posterior Stabilized Total Knee Prostheses
,”
Acta Orthop. Belg.
, Vol.
76
, No.
3
,
2010
, pp.
367
373
.
30.
Morra
,
E. A.
and
Greenwald
,
A. S.
, “
Tibial Plateau Abrasion in Mobile Bearing Knee Systems during Walking Gait III—A Finite Element Study
,”
J. Bone Joint Surg. Am.
, Vol.
85-A
, No.
Suppl 4
,
2003
, pp.
111
1114
.
31.
Morra
,
E. A.
and
Greenwald
,
A. S.
, “
Polymer Insert Stress in Total Knee Designs during High-Flexion Activities: A Finite Element Study
,”
J. Bone Joint Surg. Am.
, Vol.
87
, No.
Suppl 2
,
2005
, pp.
120
124
. https://doi.org/10.2106/JBJS.E.00436
32.
Kim
,
Y. H.
,
Choi
,
Y.
, and
Kim
,
J. S.
, “
Range of Motion of Standard and High-Flexion Posterior Cruciate-Retaining Total Knee Prostheses: A Prospective Randomized Study
,”
J. Bone Joint Surg. Am.
, Vol.
91
, No.
8
,
2009
, pp.
1874
1881
. https://doi.org/10.2106/JBJS.H.00769
33.
Murphy
,
M.
,
Journeaux
,
S.
, and
Russell
,
T.
, “
High-Flexion Total Knee Arthroplasty: A Systematic Review
,”
Int. Orthop.
, Vol.
33
, No.
4
,
2009
, pp.
887
893
. https://doi.org/10.1007/s00264-009-0774-5
34.
Ritter
,
M. A.
,
Harty
,
L. D.
,
Davis
,
K. E.
,
Meding
,
J. B.
, and
Berend
,
M. E.
, “
Predicting Range of Motion after Total Knee Arthroplasty. Clustering, Log-Linear Regression, and Regression Tree Analysis
,”
J. Bone Joint Surg. Am.
, Vol.
85
,
2003
, pp.
1278
1285
.
35.
Anouchi
,
Y. S.
,
McShane
,
M.
, and
Kelly
,
F.
, Jr.
, “
Range of Motion in Total Knee Replacement
,”
Clin. Orthop. Relat. Res.
, Vol.
331
,
1996
, pp.
87
92
. https://doi.org/10.1097/00003086-199610000-00012
36.
Schurman
,
D. J.
and
Rojer
,
D. E.
, “
Total Knee Arthroplasty: Range of Motion Across Five Systems
,”
Clin. Orthop. Relat. Res.
, Vol.
430
,
2005
, pp.
132
137
. https://doi.org/10.1097/01.blo.0000146745.13678.b9
37.
Rowe
,
P. J.
,
Myles
,
C. M.
,
Walker
,
C.
, and
Nutton
,
R.
, “
Knee Joint Kinematics in Gait and Other Functional Activities Measured Using Flexible Electrogoniometry: How Much Knee Motion is Sufficient for Normal Daily Life
?”
Gait Posture
, Vol.
12
,
2000
, pp.
143
155
. https://doi.org/10.1016/S0966-6362(00)00060-6
38.
Mulholland
,
S. J.
and
Wyss
,
U. P.
, “
Activities of Daily Living in Non-Western Cultures: Range of Motion Requirements for Hip and Knee Joint Implants
,”
Int. J. Rehab. Res.
, Vol.
24
,
2001
, pp.
191
198
. https://doi.org/10.1097/00004356-200109000-00004
This content is only available via PDF.
You do not currently have access to this content.