14-Year Median Follow-Up Using the Press-Fit Condylar Sigma Design for Total Knee Arthroplasty

Published:March 29, 2013DOI:https://doi.org/10.1016/j.arth.2012.11.014

      Abstract

      Median 14-year follow-up (mean 11.8 years) of a cemented primary posterior cruciate-retaining total knee arthroplasty (TKA) utilizing the Press-Fit Condylar (PFC) Sigma design was evaluated in 77 patients (79 TKA). Follow-up assessment included implant survivorship, x-rays, Knee Society rating system, and clinical evaluation. Radiographic analysis demonstrated minor non-progressive osteolysis in 40% (10/25) knees. Two revisions, one for instability at 4 years and one for polyethylene wear at 10 years were performed. Survivorship of the PFC Sigma knee implant was 97% using revision for any reason and 100% using aseptic loosening as endpoints. The PFC Sigma had excellent survivorship at 14 years, the longest clinical follow-up reported.

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      References

        • Dalury D.F.
        • Gonzales R.A.
        • Adams M.J.
        • et al.
        Midterm results with the PFC Sigma total knee arthroplasty system.
        J Arthroplasty. 2008; 23: 175
        • Hunter N.C.R.
        Brenkel IJ Press fit condylar Sigma total knee arthroplasty: 7–9 years results.
        European J Orthop Surg Traumatologie. 2009; 19: 409
        • Zaki S.H.
        • Rafiq I.
        • Kapoor A.
        • et al.
        Medium-term results with the Press Fit Condylar (PFC) Sigma knee prosthesis the Wrightington experience.
        Acta Orthop Belg. 2007; 73: 55
        • Archibeck M.J.
        • White Jr., R.E.
        What's new in adult reconstructive knee surgery.
        J Bone Joint Surg Am. 2003; 85-A: 1404
        • Buehler K.O.
        • Venn-Watson E.
        • D'Lima D.D.
        • et al.
        The press-fit condylar total knee system: 8- to 10-year results with a posterior cruciate-retaining design.
        J Arthroplasty. 2000; 15: 698
        • Fehring T.K.
        • Murphy J.A.
        • Hayes T.D.
        • et al.
        Factors influencing wear and osteolysis in press-fit condylar modular total knee replacements.
        Clin Orthop Relat Res. 2004; 428: 40
        • Asif S.
        • Choon D.S.
        Midterm results of cemented Press Fit Condylar Sigma total knee arthroplasty system.
        J Orthop Surg (Hong Kong). 2005; 13: 280
        • Raman R.K.N.
        • White W.
        • Chapman A.
        • et al.
        5-year results of the PFC sigma total knee arthroplasty: a study of 525 cases.
        in: RA British Association for Surgery of the Knee; 2006 March 18–19, 2005. Journal of Bone and Joint Surgery - British, Gateshead, England2006: 253
        • Wright R.J.
        • Lima J.
        • Scott R.D.
        • et al.
        Two- to four-year results of posterior cruciate-sparing condylar total knee arthroplasty with an uncemented femoral component.
        Clin Orthop Rel Research. 1990; 260: 80
        • Ranawat C.S.
        • Flynn Jr., W.F.
        • Saddler S.
        • et al.
        Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study.
        Clin Orthop Relat Res. 1993; 286: 94
        • McCaskie A.W.
        • Deehan D.J.
        • Green T.P.
        • et al.
        Randomised, prospective study comparing cemented and cementless total knee replacement: results of press-fit condylar total knee replacement at five years.
        J Bone Joint Surg Br. 1998; 80: 971
        • Martin S.D.
        • McManus J.L.
        • Scott R.D.
        • et al.
        Press-fit condylar total knee arthroplasty. 5- to 9-year follow-up evaluation.
        J Arthroplasty. 1997; 12: 603
        • Bhatt H.
        • Rambani R.
        • White W.
        • et al.
        Primary total knee arthroplasty using the P.F.C Sigma(R)-rotating platform cruciate retaining endoprosthesis – A 6 year follow up.
        Knee. 2012; ([epub ahead of print])
        • Colwell Jr., C.W.
        • Pulido P.A.
        • Hardwick M.E.
        • et al.
        Initiating a multisubspecialty orthopaedic outcomes program and utilizing the data to guide practice.
        J Bone Joint Surg Am. 2009; 91: 134
        • Ewald F.C.
        Leg lift technique for simultaneous femoral, tibial and patella prosthetic cementing, rule of “no thumb” for patella tracking and “steel rod rule” for ligament tension.
        Techniques in Orthopaedics. 1991; 6: 44
        • Ewald F.C.
        The Knee Society total knee arthroplasty roentgenographic evaluation and scoring system.
        Clin Orthop Relat Res. 1989; 248: 9
        • Rodricks D.J.
        • Patil S.
        • Pulido P.
        • et al.
        Press-fit condylar design total knee arthroplasty. Fourteen to seventeen-year follow-up.
        J Bone Joint Surg Am. 2007; 89: 89
        • Schwartz A.J.
        • Della Valle C.J.
        • Rosenberg A.G.
        • et al.
        Cruciate-retaining TKA using a third-generation system with a four-pegged tibial component: a minimum 10-year followup note.
        Clin Orthop Relat Res. 2010; 468: 2160
        • Choi Y.J.
        • Lee K.W.
        • Kim C.H.
        • et al.
        Long-term results of hybrid total knee arthroplasty: minimum 10-years follow-up.
        Knee Surg Relat Res. 2012; 24: 79
        • Branovacki G.
        • Chung L.
        • Colwell C.
        • et al.
        The Evolution of Hip and Knee arthroplasty Implants and Their Manufacturers. 2005 2005/02/16/.
        in: Presented AAOS Washington, DC2005: 449
        • Scott R.D.
        • Volatile T.B.
        Twelve years' experience with posterior cruciate-retaining total knee arthroplasty.
        Clin Orthop. 1986; 205: 100
        • Mikulak S.A.
        • Mahoney O.M.
        • dela Rosa M.A.
        • et al.
        Loosening and osteolysis with press-fit condylar posterior-cruciate-substituting total knee replacement.
        J Bone Joint Surg Am. 2001; 83-A: 398
        • Ballantyne A.
        • McKinley J.
        • Brenkel I.
        Comparison of the lateral release rates in the press fit condylar prosthesis and the PFC Sigma prosthesis.
        Knee. 2003; 10: 193
        • Ritter M.A.
        • Campbell E.D.
        Postoperative patellar complications with or without lateral release during total knee arthroplasty.
        Clin Orthop Relat Res. 1987; 219: 163
        • Duffy G.P.
        • Trousdale R.T.
        • Stuart M.J.
        Total knee arthroplasty in patients 55 years old or younger. 10- to 17-year results.
        Clin Orthop Relat Res. 1998; 356: 22
        • Dennis D.A.
        • Clayton M.L.
        • O'Donnell S.
        • et al.
        Posterior cruciate condylar total knee arthroplasty. Average 11-year follow-up evaluation.
        Clin Orthop Rel Res. 1992; 281: 168