Midterm outcome of the Duracon total knee arthroplasty

J Orthop Surg (Hong Kong). 2008 Aug;16(2):197-200. doi: 10.1177/230949900801600214.

Abstract

Purpose: To present midterm results of Duracon total knee arthroplasty (TKA) performed between 1991 and 2001.

Methods: One man and 43 women (65 knees) aged 46 to 84 (mean, 63) years who underwent primary TKAs using the Duracon prosthesis performed by a single surgeon were followed up for a mean of 8.5 (range, 5-11) years. All TKAs were cruciate-retaining and cemented, with only 9 of the patellae resurfaced. The diagnosis was osteoarthritis in 42 patients (61 knees), and rheumatoid arthritis in 2 patients (4 knees). Patients were assessed using the Knee Society Clinical Rating System, the Oxford Knee Score, and the Knee Society Total Knee Arthroplasty Roentgenographic Evaluation and Scoring System.

Results: The mean Knee Society knee score was 86 (range, 43-100) and the function score was 68 (0- 100). 94% of patients reported no or only mild pain. The mean Oxford Knee Score was 19. There was no patellofemoral complication, deep vein thrombosis or pulmonary embolism. Complications included a superficial infection and an uncontrolled deep infection. One patient had the insert exchanged for wear at the 11-year follow-up, and another had the polyethylene insert and tibial tray revised after a motorcycle accident.

Conclusion: The Duracon TKA had good midterm clinical results with absence of patellofemoral complications.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthritis, Rheumatoid / surgery
  • Arthroplasty, Replacement, Knee / methods*
  • Chi-Square Distribution
  • Female
  • Humans
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / surgery
  • Postoperative Complications / epidemiology
  • Postoperative Complications / prevention & control
  • Prosthesis Design
  • Prosthesis Failure
  • Range of Motion, Articular
  • Surveys and Questionnaires
  • Treatment Outcome