40-221

Resultados preliminares de la prótesis total de rodilla Performance. Inserto tibial fijo versus rotatorio

Mobile versus fixed bearing total knee arthroplasty. Preliminary results using the Performance implant

D. SALA CUARTERO, R. LOPEZ LOZANO, F. ARGÜELLES LINARES, F. GOMAR SANCHO SERVICIO DE COT. HOSPITAL CLÍNICO UNIVERSITARIO DE VALENCIA. DEPARTAMENTO DE CIRUGÍA. FACULTAD DE MEDICINA. UNIVERSIDAD DE VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

One hundred total knee arhtroplasties were implanted
comparing fixed versus mobile bearing tibial insert.
Patients were randomly assigned to one of both groups, the
same postoperative and follow-up protocol were followed in all
cases. At one-year of follow-up mean flexion was 105º and no
differences were detected between both types of tibial insert.
There were no differences regarding subjective outcome
assessed by the Oxford questionnaire. There were no cases of
infection or instability, two patients had motion limitation, one
of them required mobilization under anesthesia and the other
arthroplasty was reviewed to a rotating hinge. The were no
radiographic signs of loosening. In conclusion, early results of
total knee arthroplasty using mobile bearing offer the same
good results as fixed bearing, with no increase of complications.
Long-term studies are required to disclose the advantages
of mobile bearing inserts.

Palabras clave (ES):

instructiva
Corticoides
Corticoterapia
pulmonar
Enfermedad
simultánea
bilateral
Rotura
Aquiles
de
Tendón

Resumen (EN)

One hundred total knee arhtroplasties were implanted
comparing fixed versus mobile bearing tibial insert.
Patients were randomly assigned to one of both groups, the
same postoperative and follow-up protocol were followed in all
cases. At one-year of follow-up mean flexion was 105º and no
differences were detected between both types of tibial insert.
There were no differences regarding subjective outcome
assessed by the Oxford questionnaire. There were no cases of
infection or instability, two patients had motion limitation, one
of them required mobilization under anesthesia and the other
arthroplasty was reviewed to a rotating hinge. The were no
radiographic signs of loosening. In conclusion, early results of
total knee arthroplasty using mobile bearing offer the same
good results as fixed bearing, with no increase of complications.
Long-term studies are required to disclose the advantages
of mobile bearing inserts.

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