Results of a second-generation constrained condylar prosthesis in primary total knee arthroplasty.

Journal Article (Journal Article)

This is a prospective study of the results of a second-generation modular constrained condylar knee (CCK) prosthesis in primary total knee arthroplasty. Of 418 consecutive total knee arthroplasties performed by 1 surgeon, a second-generation modular CCK prosthesis was indicated for intraoperative stability in 30 knees (7.2%). Three knees were lost to follow-up, and 27 knees had a mean follow-up time of 5.4 years (range, 2-11.5 years). All tibial components had a cemented 35-mm stem extension, and 26 femoral components had a 100-mm uncemented stem extension. The indication for use of the CCK components was most commonly severe valgus deformity and incompetent medial collateral ligament. There were no revisions for loosening, patella problems, or tibial post fracture. A lateral retinacular release of the patella was performed in 6 knees (22%). An asymptomatic, minimally displaced patella fracture was noted in 2 knees (7.4%). Constrained condylar knees are used infrequently now but are successful for the treatment of the unstable primary knee that cannot be balanced. These results may be design specific.

Full Text

Duke Authors

Cited Authors

  • Lachiewicz, PF; Soileau, ES

Published Date

  • December 2011

Published In

Volume / Issue

  • 26 / 8

Start / End Page

  • 1228 - 1231

PubMed ID

  • 21778031

Pubmed Central ID

  • 21778031

Electronic International Standard Serial Number (EISSN)

  • 1532-8406

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2011.05.010

Language

  • eng

Conference Location

  • United States