Research
Mid- term results of stryker® scorpio plus mobile bearing total knee arthroplasty
1 Department of Orthopaedic Surgery, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami, Yokohama, Kanagawa, 232-0024, Japan
2 Center for Rheumatic Diseases, Yokohama City University Medical Center, 4-57 Urafune-cho, Minami, Yokohama, Kanagawa, 232-0024, Japan
3 Department of Orthopaedic Surgery, Yokohama City University Graduate School of Medicine, 3-9, Fukuura, Kanazawa, Yokohama, Kanagawa, 236-0004, Japan
Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology 2012, 4:38 doi:10.1186/1758-2555-4-38
Published: 18 October 2012Abstract
Background
The mobile bearing knee system was introduced to lessen contact stress on the articular bearing surface and reduce polyethylene wear. The purpose of the current study was to investigate the mid-term results of patients undergoing total knee arthroplasties (TKAs) using Scorpio Plus Mobile Bearing Knee System (Stryker, Mahwah, NJ), and compare the outcomes between patients with osteoarthritis and osteonecrosis (OA·ON group) and patients with rheumatoid arthritis (RA group).
Methods
Eight males and 58 females were followed up for a period of 4.4- 7.6 years from June 1, 2003 to December 31, 2005. There were 53 knees with osteoarthritis, 17 knees with rheumatoid arthritis, and 6 knees with osteonecrosis. Clinical and radiographic follow- up was done using The Japanese Orthopedic Association knee rating score (JOA score) and Knee Society Total Knee Arthroplasty Roentgenographic Evaluation and Scoring System.
Results
With regard to the JOA score, there was significant improvement in both groups. The postoperative range of motion was between 0.8°and 116.8° in OA·ON group, and between 0.0° and 113.7° in RA group. There were no significant differences with the radiographic evaluation between two groups. Spontaneous dislocation of a polyethylene insert occurred in one patient, and deep infection was occurred in one patient.
Conclusion
There was significant improvement with regard to the clinical and radiographic results of patients undergoing TKAs using the model. The risk of polyethylene insert dislocation related to the mobile bearing TKA is a cause for concern.
