Thomas Robinson , Samuel W. King , Richard WD. Pilling , Joseph Aderinto , Veysi Veysi , Owen Wall , Jonathan Lamb , Hemant Pandit
{"title":"全膝关节置换术:是否有早期胫骨脱粘的证据?一项至少随访两年的前瞻性队列研究","authors":"Thomas Robinson , Samuel W. King , Richard WD. Pilling , Joseph Aderinto , Veysi Veysi , Owen Wall , Jonathan Lamb , Hemant Pandit","doi":"10.1016/j.jajs.2021.03.007","DOIUrl":null,"url":null,"abstract":"<div><p>New TKA are designed to optimize patient outcomes and improve implant longevity such as the Attune TKA. Concerns have been raised regarding a potentially high rate of early de-bonding at the implant–cement interface of the tibial component. Our study aimed to prospectively assess the clinical outcomes and radiographs of a consecutive series of patients undergoing either Attune TKA or another modern TKA for OA to establish failure rates and compare radiological abnormalities.</p><p>96 Attune TKA performed by three surgeons at our local center were matched to 96 control TKA (PFC/Vanguard) performed between 2015 and 2017. Day one, one year and two year post surgery radiographs were analyzed by two independent, blinded assessors. Clinical outcome was assessed using the Oxford Knee Score and survival of the implant recorded. Patients were contacted two years from surgery, 93 Attune and 92 control TKAs attended for clinical and radiological assessment by the same independent assessors.</p><p>No TKA in either group were revised. No significant radiolucencies (≥2 mm) at the cement-bone or implant-cement interfaces were encountered in either group. The incidence of radiolucencies (<2 mm) across both interfaces was similar between both groups and did not affect clinical outcome. There was no significant difference between the incidence, progression and extent of radiolucencies at two years follow-up in either of the groups as compared with one year. No clinically relevant adverse radiographic features were found in this prospective cohort study comparing a consecutive series of Attune TKA with a matched group of established, modern TKA designs.</p></div>","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jajs.2021.03.007","citationCount":"4","resultStr":"{\"title\":\"Attune total knee arthroplasty: is there evidence of early tibial component de-bonding? A prospective cohort study with a minimum two year follow-up\",\"authors\":\"Thomas Robinson , Samuel W. King , Richard WD. Pilling , Joseph Aderinto , Veysi Veysi , Owen Wall , Jonathan Lamb , Hemant Pandit\",\"doi\":\"10.1016/j.jajs.2021.03.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>New TKA are designed to optimize patient outcomes and improve implant longevity such as the Attune TKA. Concerns have been raised regarding a potentially high rate of early de-bonding at the implant–cement interface of the tibial component. Our study aimed to prospectively assess the clinical outcomes and radiographs of a consecutive series of patients undergoing either Attune TKA or another modern TKA for OA to establish failure rates and compare radiological abnormalities.</p><p>96 Attune TKA performed by three surgeons at our local center were matched to 96 control TKA (PFC/Vanguard) performed between 2015 and 2017. Day one, one year and two year post surgery radiographs were analyzed by two independent, blinded assessors. Clinical outcome was assessed using the Oxford Knee Score and survival of the implant recorded. Patients were contacted two years from surgery, 93 Attune and 92 control TKAs attended for clinical and radiological assessment by the same independent assessors.</p><p>No TKA in either group were revised. No significant radiolucencies (≥2 mm) at the cement-bone or implant-cement interfaces were encountered in either group. The incidence of radiolucencies (<2 mm) across both interfaces was similar between both groups and did not affect clinical outcome. There was no significant difference between the incidence, progression and extent of radiolucencies at two years follow-up in either of the groups as compared with one year. No clinically relevant adverse radiographic features were found in this prospective cohort study comparing a consecutive series of Attune TKA with a matched group of established, modern TKA designs.</p></div>\",\"PeriodicalId\":38088,\"journal\":{\"name\":\"Journal of Arthroscopy and Joint Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.jajs.2021.03.007\",\"citationCount\":\"4\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Arthroscopy and Joint Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214963521000377\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Arthroscopy and Joint Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214963521000377","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Attune total knee arthroplasty: is there evidence of early tibial component de-bonding? A prospective cohort study with a minimum two year follow-up
New TKA are designed to optimize patient outcomes and improve implant longevity such as the Attune TKA. Concerns have been raised regarding a potentially high rate of early de-bonding at the implant–cement interface of the tibial component. Our study aimed to prospectively assess the clinical outcomes and radiographs of a consecutive series of patients undergoing either Attune TKA or another modern TKA for OA to establish failure rates and compare radiological abnormalities.
96 Attune TKA performed by three surgeons at our local center were matched to 96 control TKA (PFC/Vanguard) performed between 2015 and 2017. Day one, one year and two year post surgery radiographs were analyzed by two independent, blinded assessors. Clinical outcome was assessed using the Oxford Knee Score and survival of the implant recorded. Patients were contacted two years from surgery, 93 Attune and 92 control TKAs attended for clinical and radiological assessment by the same independent assessors.
No TKA in either group were revised. No significant radiolucencies (≥2 mm) at the cement-bone or implant-cement interfaces were encountered in either group. The incidence of radiolucencies (<2 mm) across both interfaces was similar between both groups and did not affect clinical outcome. There was no significant difference between the incidence, progression and extent of radiolucencies at two years follow-up in either of the groups as compared with one year. No clinically relevant adverse radiographic features were found in this prospective cohort study comparing a consecutive series of Attune TKA with a matched group of established, modern TKA designs.
期刊介绍:
Journal of Arthroscopy and Joint Surgery (JAJS) is committed to bring forth scientific manuscripts in the form of original research articles, current concept reviews, meta-analyses, case reports and letters to the editor. The focus of the Journal is to present wide-ranging, multi-disciplinary perspectives on the problems of the joints that are amenable with Arthroscopy and Arthroplasty. Though Arthroscopy and Arthroplasty entail surgical procedures, the Journal shall not restrict itself to these purely surgical procedures and will also encompass pharmacological, rehabilitative and physical measures that can prevent or postpone the execution of a surgical procedure. The Journal will also publish scientific research related to tissues other than joints that would ultimately have an effect on the joint function.