Clinical outcomes and survival comparison between NexGen
all-poly and its metal-backed equivalent in total knee
arthroplasty

J 2023

Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty

APOSTOLOPOULOS, Vasileios, Luboš NACHTNEBL, Michal MAHDAL, Lukáš PAZOUREK, Petr BOHAC et. al.

Basic information

Original name

Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty

Authors

APOSTOLOPOULOS, Vasileios (203 Czech Republic, belonging to the institution), Luboš NACHTNEBL (203 Czech Republic, belonging to the institution), Michal MAHDAL (203 Czech Republic, belonging to the institution), Lukáš PAZOUREK (203 Czech Republic, belonging to the institution), Petr BOHAC (203 Czech Republic), Pavel JANÍČEK (203 Czech Republic, belonging to the institution) and Tomáš TOMÁŠ (203 Czech Republic, guarantor, belonging to the institution)

Edition

INTERNATIONAL ORTHOPAEDICS, NEW YORK, SPRINGER, 2023, 0341-2695

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30211 Orthopaedics

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.700 in 2022

RIV identification code

RIV/00216224:14110/23:00131204

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s00264-023-05772-3

UT WoS

000970731400001

Keywords in English

Knee arthroplasty; All-polyethylene knee replacement; NexGen; Implant survival; Knee Society Score

Abstract

V originále

PurposeThis study aims to compare total knee replacement (TKA) with NexGen All-Poly (APT) and NexGen Metal-Backed (MBT) in terms of implant survivorship, reasons leading to implant failure and functional results of defined age categories.MethodsA single-centre, retrospective evaluation of 812 patients who underwent knee replacement with NexGen CR between 2005 and 2021, comparing a modern congruent APT component to a modular MBT equivalent component using a similar surgical technique at a notable mean follow-up duration. Implant survival, functional outcomes using the Knee Society Score and range of motion were evaluated and compared in different age categories.ResultsOf the 812 NexGen CR TKAs performed at our institution, 410 (50.4%) used APT components and 402 (49.6%) MBT components. The survival rate of NexGen APT was 97.1% and that of NexGen MBT was 93.2% (p = 0.36). Removal of the implant occurred overall in 15 cases, for MBT in ten cases, and for APT in four cases. The FS was proved to be significantly higher when APT components were implanted in younger patients than for MBT (p = 0.005). A similar range of motion between the components was recorded (p = 0.1926).ConclusionUnder defined conditions, we measured the clinical results of implants from a single manufacturer implanted in a single department using a similar surgical technique. Considering the limitations, we suggest that all-polyethylene tibial components are equal or even superior to metal-backed ones across the examined age categories.

Citovat

APOSTOLOPOULOS, Vasileios, Luboš NACHTNEBL, Michal MAHDAL, Lukáš PAZOUREK, Petr BOHAC, Pavel JANÍČEK and Tomáš TOMÁŠ. Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty. INTERNATIONAL ORTHOPAEDICS. NEW YORK: SPRINGER, 2023, vol. 47, No 9, p. 2207-2213. ISSN 0341-2695. Available from: https://dx.doi.org/10.1007/s00264-023-05772-3.

@article{2297000,
   author = {Apostolopoulos, Vasileios and Nachtnebl, Luboš and Mahdal, Michal and Pazourek, Lukáš and Bohac, Petr and Janíček, Pavel and Tomáš, Tomáš},
   article_location = {NEW YORK},
   article_number = {9},
   doi = {http://dx.doi.org/10.1007/s00264-023-05772-3},
   keywords = {Knee arthroplasty; All-polyethylene knee replacement; NexGen; Implant survival; Knee Society Score},
   language = {eng},
   issn = {0341-2695},
   journal = {INTERNATIONAL ORTHOPAEDICS},
   title = {Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty},
   url = {https://link.springer.com/article/10.1007/s00264-023-05772-3},
   volume = {47},
   year = {2023}
}

TY  - JOUR
ID  - 2297000
AU  - Apostolopoulos, Vasileios - Nachtnebl, Luboš - Mahdal, Michal - Pazourek, Lukáš - Bohac, Petr - Janíček, Pavel - Tomáš, Tomáš
PY  - 2023
TI  - Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty
JF  - INTERNATIONAL ORTHOPAEDICS
VL  - 47
IS  - 9
SP  - 2207-2213
EP  - 2207-2213
PB  - SPRINGER
SN  - 03412695
KW  - Knee arthroplasty
KW  - All-polyethylene knee replacement
KW  - NexGen
KW  - Implant survival
KW  - Knee Society Score
UR  - https://link.springer.com/article/10.1007/s00264-023-05772-3
N2  - PurposeThis study aims to compare total knee replacement (TKA) with NexGen All-Poly (APT) and NexGen Metal-Backed (MBT) in terms of implant survivorship, reasons leading to implant failure and functional results of defined age categories.MethodsA single-centre, retrospective evaluation of 812 patients who underwent knee replacement with NexGen CR between 2005 and 2021, comparing a modern congruent APT component to a modular MBT equivalent component using a similar surgical technique at a notable mean follow-up duration. Implant survival, functional outcomes using the Knee Society Score and range of motion were evaluated and compared in different age categories.ResultsOf the 812 NexGen CR TKAs performed at our institution, 410 (50.4%) used APT components and 402 (49.6%) MBT components. The survival rate of NexGen APT was 97.1% and that of NexGen MBT was 93.2% (p = 0.36). Removal of the implant occurred overall in 15 cases, for MBT in ten cases, and for APT in four cases. The FS was proved to be significantly higher when APT components were implanted in younger patients than for MBT (p = 0.005). A similar range of motion between the components was recorded (p = 0.1926).ConclusionUnder defined conditions, we measured the clinical results of implants from a single manufacturer implanted in a single department using a similar surgical technique. Considering the limitations, we suggest that all-polyethylene tibial components are equal or even superior to metal-backed ones across the examined age categories.
ER  -

APOSTOLOPOULOS, Vasileios, Luboš NACHTNEBL, Michal MAHDAL, Lukáš PAZOUREK, Petr BOHAC, Pavel JANÍČEK and Tomáš TOMÁŠ. Clinical outcomes and survival comparison between NexGen all-poly and its metal-backed equivalent in total knee arthroplasty. \textit{INTERNATIONAL ORTHOPAEDICS}. NEW YORK: SPRINGER, 2023, vol.~47, No~9, p.~2207-2213. ISSN~0341-2695. Available from: https://dx.doi.org/10.1007/s00264-023-05772-3.

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