Polyethylene spinout in the Attune® Cruciate-Retaining Rotating-Platform (CR RP) total knee arthroplasty performed with a cruciate-sacrificing and measured-resection technique

被引:3
|
作者
Keogh, Cillian J. [1 ]
Mulcahy, David [2 ]
Reidy, Declan [1 ]
Beverland, David E. [3 ]
Harty, James A. [1 ]
机构
[1] Cork Univ Hosp, Dept Trauma & Orthopaed Surg, South Infirm Victoria Univ Hosp, Cork T12 DC4A, Ireland
[2] Bon Secours Hosp Cork, Dept Orthopaed Surg, Coll Rd, Cork, Ireland
[3] Musgrave Pk Hosp, Stockmans Lane, Belfast BT9 7JB, Antrim, North Ireland
关键词
Rotating; Platform; Cruciate; Retaining; Gap; Balancing; Attune (R); LCS (R); Polyethylene; Spinout; OUTCOMES; TKA;
D O I
10.1186/s43019-020-00057-0
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction: Polyethylene (PE) spinout is a known but uncommon complication when using a mobile-bearing (MB) total knee arthroplasty (TKA) design. Sacrificing the posterior cruciate ligament (PCL) is within the manufacturer's recommendations for the Attune (R) Cruciate-Retaining Rotating-Platform (CR RP) knee design. Aim: To discuss the potential aetiology and prevention of spinout in the Attune (R) CR RP knee. Methods: We used a retrospective radiological review from two centres reporting a higher rate of spinout in the Attune (R) CR RP knee using a cruciate-sacrificing and measured-resection technique when compared to a gap-balancing technique. Three hundred and thirty-two patients were evaluated over a 3-year period. Results: There were 8 out of 279 (2.86%) cases of spinout in our first cohort of patients using a measured-resection technique. There were 0 out of 53 cases of spinout in our second cohort of patients where a gap-balancing technique was used. One spinout was reduced closed, the other seven were initially revised to a thicker RP insert of the same design. Of these seven, three underwent a further revision TKA and one patient required a knee fusion/arthrodesis. Conclusions: This study reports a higher incidence of PE spinout in the Attune (R) CR RP TKA when a measured-resection technique in combination with PCL resection is performed. We recommend a gap-balancing technique with conservative soft-tissue release if the surgeon is planning to sacrifice the PCL in the Attune (R) CR RP.
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页数:6
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