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Posterior Cruciate Ligament-Retaining Total Knee Arthroplasty in Patients with Rheumatoid Arthritis: A Concise Follow-up of a Previous Report*.
MedLine Citation:
PMID:  22262390     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We previously reported the minimum eight-year follow-up results of cruciate-retaining total knee arthroplasty in a consecutive series of seventy-two knees in patients with rheumatoid arthritis. In the present study, we evaluated the longer-term outcomes after twenty to twenty-five years of follow-up. Since the publication of our original study, ten knees have been revised: three because of periprosthetic fracture, three because of infection, two because of patellofemoral failure, and two because of posterior instability. The rate of implant survival at twenty years after surgery was 69% (95% confidence interval [CI], 56% to 79%) with revision for any reason as the end point, 81% (95% CI, 69% to 89%) with femoral or tibial component revision for any reason as the end point, and 93% (95% CI, 83% to 97%) with posterior instability as the end point. These long-term results demonstrate that posterior cruciate ligament insufficiency with instability was rarely the cause of failure following cruciate-retaining total knee arthroplasty in patients with rheumatoid arthritis.Level of Evidence:Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Authors:
Matthew D Miller; Nicholas M Brown; Craig J Della Valle; Aaron G Rosenberg; Jorge O Galante
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  93     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2012-01-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1301-6     Citation Subset:  AIM; IM    
Affiliation:
Stanford Orthopaedic Surgery at Los Gatos, 555 Knowles Drive, Suite 211, Los Gatos, CA 94306. E-mail address: mmiller@stanford.edu.
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