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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 9, 1222-1224.
doi: 10.1302/0301-620X.87B9.15933  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Revision total knee arthroplasty with the Total Condylar III system in inflammatory arthritis

P.-Y. Sheng, MD, Orthopaedic Surgeon1; E. Jämsen, BM2; M. U. K. Lehto, MD, PhD, Docent3; Y. T. Konttinen, MD, PhD, Professor of Medicine4; J. Pajamäki, MD, PhD, Docent3; and P. Halonen, MD, Orthopaedic Surgeon3

1 Department of Orthopaedics, The First Affiliated Hospital, Zhongshan University, Zhongshan 2 Road #58, 510080, Guangzhou, China.
2 University of Tampere, Kalevantie 4 33014, Tampere, Finland.
3 Coxa - Hospital for Joint Replacement, P. O. Box 652, 33101 Tampere, Finland.
4 Department of Medicine Helsinki University Central Hospital, PO Box 700 (Haartmaninkatu 8), Helsinki, FIN-00029, Finland.

Correspondence should be sent to Dr M. U. K. Lehto; e-mail: matti-lehto{at}coxa.fi

We report a consecutive series of 16 revision total knee arthroplasties using the Total Condylar III system in 14 patients with inflammatory arthritis which were performed between 1994 and 2000. There were 11 women and three men with a mean age of 59 years (36 to 78). The patients were followed up for 74 months (44 to 122).

The mean pre-operative Knee Society score of 37 points (0 to 77) improved to 88 (61 to 100) at follow-up (t-test, p < 0.001) indicating very good overall results. The mean range of flexion improved from 62° (0° to 120°) to 98° (0° to 145°) (t-test, p < 0.05) allowing the patients to stand from a sitting position. The mean Knee Society pain score improved from 22 (10 to 45) to 44 (20 to 50) (t-test, p < 0.05). No knee had definite loosening, although five showed asymptomatic radiolucent lines. Complications were seen in three cases, comprising patellar pain, patellar fracture and infection.

These results suggest that the Total Condylar III system can be used successfully in revision total knee arthroplasty in inflammatory arthritis.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General