Uncemented tantalum metal components versus cemented tibial components in total knee arthroplasty: 11- to 15-year outcomes of a single-blinded randomized controlled trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2020;8(19):5 Bone Joint J. 2020 Aug;102-B(8):1025-1032.¿Qué significa esto para mi consulta?
The results suggest that the use of the uncemented tantalum trabecular metal monoblock tibial component may provide superior long-term clinical outcomes vs a conventional cemented tibial component of a matched design. Furthermore, the lower levels of radiolucency suggests greater component fixation. Loss of patients for follow-up was observed due to death and the long period of follow-up, and thus, total patient number was lower at final follow-up than the original power calculation of 40 knees per group.
Resumen del estudio
Seventy four patients (90 knees) were included in this study comparing uncemented tantalum trabecular metal monoblock tibial components and conventional cemented tibial components for the NexGen knee system (Zimmer) in terms of survivorship and clinical outcomes. Outcomes of interest included the Short Form 12 (SF-12) quality of life questionnaire, the Oxford Knee Score (OKS), the Knee Society Score (KSS), radiographic assessments, and the incidence of revision. Outcomes were assessed at 6 weeks, 1 year, 3 years, 5 years, and 11-15 years post-operation. OKS and KSS scores at 11-15 years were statistically significantly in favour of the uncemented group compared to the conventional group; however, no significant differences were observed at 1, 3, or 5 years post-operation. The 6-week data for OKS and KSS scores were missing. No significant differences in SF-12 scores were observed between the two groups at all timepoints. One case of revision was reported in the uncemented group. A statistically significant increase in radiolucency beneath the tibial trays was observed in the conventional group compared to the uncemented group.
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