Osteoarthritis, Knee
Conditions
Brief summary
To our knowledge, there has been no information on in vivo clinical results of posterior cruciate-substituting arthroplasties using highly cross-linked polyethylene. We evaluated whether the clinical and radiographic results, incidence of post fracture of the tibial polyethylene insert, failure of the locking mechanism of the tibial polyethylene insert, and the incidence of osteolysis would be similar between posterior cruciate-substituting total knee prostheses using conventional and highly cross-linked polyethylene.
Interventions
Total knee arthroplasty with standard incision and approach, and cement fixation. Zimmer Nexgen posterior stabilized total knee implants are used.
Sponsors
Study design
Eligibility
Inclusion criteria
* osteoarthritis that was severe enough to warrant total knee arthroplasty after an adequate trial of nonoperative therapy, and the need for bilateral total knee arthroplasties
Exclusion criteria
* inflammatory arthritis * osteoarthritis of the hip causing pain or restricted mobility * a foot or ankle disorder which limited walking * dementia or a neurological disorder including a past history of stroke which affected mobility
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| knee society knee score | 3 months, 1 year, and yearly thereafter the operation, until 15 years after the operation | clinical evaluation of knee function by knee score. This knee score will be compared, between preoperative and the latest score, and between the latest scores of study and control group. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| range of motion | preoperative, 3 months, 1 year, and yearly thereafter the operation until 15 years | this value will be compared between preoperative and the latest value, and between the latest value of study and control groups |