Comparison of two total knee prostheses on the incidence of patella clunk syndrome

被引:45
作者
Ip, D [1 ]
Wu, WC [1 ]
Tsang, WL [1 ]
机构
[1] Pamela Youde Netersode Eastern Hosp, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China
关键词
D O I
10.1007/s00264-001-0316-2
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
The patella clunk syndrome is not an uncommon complication. particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella chink syndrome amongst two comparable groups of elderly patients with knee arthritis implanted with the Insall-Burstein (IB II) total knee system and the newer NexGen Legacy total knee prosthesis. While 7.5% of patients in the PS IB II group developed patella clunk syndrome. none occurred in the NexGen group (P=0.05). We believe the difference is due mainly to a change in the design of the prosthesis. especially the more posterior intercondylar box and femoral cam of the NexGen femoral component.
引用
收藏
页码:48 / 51
页数:4
相关论文
共 10 条
[1]  
Beight J.L., 1994, CLIN ORTHOP RELAT R, V299, P139
[2]   Patellar tilt and subluxation following subvastus and parapatellar approach in total knee arthroplasty - Implication for surgical technique [J].
Bindelglass, DF ;
Vince, KG .
JOURNAL OF ARTHROPLASTY, 1996, 11 (05) :507-511
[3]  
EWALD FC, 1989, CLIN ORTHOP RELAT R, P9
[4]   THE INFLUENCE OF TIBIAL-PATELLOFEMORAL LOCATION ON FUNCTION OF THE KNEE IN PATIENTS WITH THE POSTERIOR STABILIZED CONDYLAR KNEE PROSTHESIS [J].
FIGGIE, HE ;
GOLDBERG, VM ;
HEIPLE, KG ;
MOLLER, HS ;
GORDON, NH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1986, 68A (07) :1035-1040
[5]  
HOZACK WJ, 1989, CLIN ORTHOP RELAT R, V241, P203
[6]  
INSALL JN, 1989, CLIN ORTHOP RELAT R, P13
[7]   Patellofemoral complications with the Insall-Burstein II posterior-stabilized total knee arthroplasty [J].
Larson, CM ;
Lachiewicz, PF .
JOURNAL OF ARTHROPLASTY, 1999, 14 (03) :288-292
[8]   Patellar clunk syndrome in total knee arthroplasty without patellar resurfacing [J].
Shoji, H ;
Shimozaki, E .
JOURNAL OF ARTHROPLASTY, 1996, 11 (02) :198-201
[9]   POSTERIOR STABILIZED PROSTHESIS - RESULTS AFTER FOLLOW-UP OF 9 TO 12 YEARS [J].
STERN, SH ;
INSALL, JN .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (07) :980-989
[10]   INTRAARTICULAR FIBROUS BANDS - PATELLAR COMPLICATIONS AFTER TOTAL KNEE REPLACEMENT [J].
THORPE, CD ;
BOCELL, JR ;
TULLOS, HS .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (06) :811-814