The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 507-513, June 2010

Twenty-Year Survivorship of Cementless Anatomic Graduated Component Total Knee Arthroplasty

  • Merrill A. Ritter, MD

      Affiliations

    • Joint Replacement Surgeons of Indiana Research Foundation, Center for Hip and Knee Surgery, Mooresville, Indiana
    • ,
  • R. Michael Meneghini, MD

      Affiliations

    • New England Musculoskeletal Institute, Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, Connecticut
    • Corresponding Author InformationReprint requests: R. Michael Meneghini, MD, Department of Orthopaedic Surgery, University of Connecticut Health Center, Medical Arts and Research Building, 4th Floor, #4016, 263 Farmington Ave, Farmington, CT 06034-4037.

Received 5 October 2008; accepted 15 April 2009. published online 11 May 2009.

Abstract 

There is a renewed interest in cementless total knee arthroplasty (TKA) due to improved biomaterials, desire for decreased surgical times and the potential increased longevity. Seventy-three cementless TKAs (AGC, Biomet, Warsaw, Ind) were performed from 1984 to 1986. All components were implanted without cement and without screws and obtained minimum 10 years of follow-up. No patient was lost to follow-up. Fifteen failures occurred, including 12 failed metal-backed patellae, and survivorship for aseptic loosening of any component was 76.4% at 20 years. Two tibial components failed of aseptic loosening at 1.1 and 2.2 years. Excluding patella failures, the survivorship for the cementless tibial component was 96.8% at 20 years. There were no femoral component failures. After eliminating patella failures, this cementless monoblock tibial component without screws demonstrated excellent 20-year survivorship.

Keywords: cementless total knee replacement, AGC, survivorship, long-term

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

 Benefits or funds were received in partial or total support of the research material described in this article. These benefits or support were received from the following sources: JRSI Research Foundation receives research funding from Biomet, Warsaw, IN.

PII: S0883-5403(09)00124-7

doi:10.1016/j.arth.2009.04.018

The Journal of Arthroplasty
Volume 25, Issue 4 , Pages 507-513, June 2010

Article Tools

* Image Usage & Resolution