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The cemented twin-peg Oxford partial knee replacement survivorship: a cohort study

Kuiper

The cemented twin-peg Oxford partial knee replacement survivorship: a cohort study Thumbnail


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Abstract

Background
A new twin-peg version of the Oxford knee was introduced in 2003. However, until now there has been no information about its survivorship. The aim of this study was to determine the survivorship, and the patients' perception of outcome over time.

Methods
A cohort of all patients treated from 2003 until 2009 using the twin-peg Oxford partial knee was contacted. The main indication for treatment was anteromedial osteoarthritis (AMOA). The Oxford Knee Score (OKS), American Knee Society Functional (AKS-F) score and satisfaction rate were obtained, and the time-to-failure was used to perform a survival analysis.

Results
There were 249 patients treated, with 288 medial cemented implants. Of these, 248 patients with 287 implants could be contacted and implant survival or failure was verified. Their mean age was 67 years (range: 34–94). The mean follow-up time was 5.1 years (maximum: 9.2). The nine years cumulative implant survival rate for all cases using revision for any reason to define failure was 98% (95% CI, 84 to 100). There were no cases of femoral loosening. The mean OKS was 22 pre-operatively, 41 at two years, and 41 at final review, at which point 96% of patients were very or fairly pleased with the result.

Conclusion
The survivorship of the twin-peg knee was better than that of the single peg knee at our centre, and appeared no worse than the results of the single peg knee at the originating centre. It can offer secure femoral fixation, sustained clinical benefit and patient satisfaction.

Acceptance Date Mar 16, 2015
Publication Date May 21, 2015
Publicly Available Date Mar 29, 2024
Journal The Knee
Pages 333-337
DOI https://doi.org/10.1016/j.knee.2015.03.011
Keywords knee, surgery, knee replacement
Publisher URL https://doi.org/10.1016/j.knee.2015.03.011