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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2002, Number 2

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Acta Ortop Mex 2002; 16 (2)

Total knee prosthesis, stabilized or not-stabilized. Comparative trial

Carriedo REG, Torres RF, Abrego ACE, Vega HR, Valdés ML

Language: Spanish
References: 25
Page: 46-50
PDF size: 32.64 Kb.


ABSTRACT

Objective. Present prospective trial has been outlined for comparison between the results obtained in two groups of patients, one with total knee prosthesis that preserves on the posterior cruciate ligament (PCL) and other in which ligament is removed. Material and methods. From November 1996 through December 2000, 300 patients were randomly classified into two groups of 150 each. Age ranged from 56 to 87 years. Gross sex ratio was always greater for women with 3:1 or 2:1 according groups. Group A patients (35 male, 115 female) were operated on for total knee prosthesis, condylar type, preserving the PCL while in those for group B (47 male, 103 female) PCL was removed for a stabilized prosthesis. Follow-up was from 2 months to 4 years. Causes that indicated surgery for groups A and B were: primary osteoarthritis 59 and 47%, osteoarthritis because of angular deformity 16 and 30%, traumatic arthritis 10 and 11%, rheumatoid arthritis 13 and 6% and metabolic arthritis 1.3 and 4%. Results. No significant difference was found between two groups in regard to: maximum operating time 120 and 110 min., transoperative bleeding 750 and 600 ml, absence of pain 110 and 111 knees, need of a cane for walking 109 and 90 and normal range of motion 103 and 104, however as an observation, a somewhat standard better knee extension was achieved in cases who had stabilized prosthesis. Complications were: deep venous thrombosis in 30 and 20 cases, long-lasting edema only in 17 of group B and one case of pulmonar embolia in group B. Conclusion. There are no true difference between results of removing or not the PCL as a technique for applying a stabilized or not total knee prosthesis.


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