Matched Pair-Analyse zwischen Innex FIXUC und NexGen LPS

Studienziel: Ziel der vorliegenden retrospektiven Matched Pair- Studie war es, die klinischen Ergebnisse von Patienten nach Kniegelenkersatz mit zwei verschiedenen Prothesen mit fixem Polyethylen-Inlay und unterschiedlicher Operationsstrategie (Tibia first vs. Femur first) zu vergleichen. Metho...

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Bibliographic Details
Main Author: Michael C. P. Witteborn
Contributors: Schmitt, Jan O. (Dr.) (Thesis advisor)
Format: Doctoral Thesis
Published: Philipps-Universität Marburg 2009
Online Access:PDF Full Text
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Table of Contents: Aim: The aim of the present retrospective matched pair study was to compare the clinical results of patients undergoing total knee arthroplasty (TKA) with two different operation strategies: tibia first vs. Femur first for ligament balancing and rotational alignment of the femoral compoment. Methods: In this study 30 patients underwent TKA with the fixed bearing prosthesis Innex FIXUC between 2003 and 2005. In the same period of time the posterior stabilized prosthesis NexGen LPS was implanted in 123 patients. Out of these, 30 patients were matched to the 30 patients of the Innex group based on parameters age, gender, height, weight and BMI. All implants were cemented. Clinical examination was rated using UCLA score, Knee Society Score, Lequesne score for knees, a visual analogue scale (VAS) for pain and the Feller patellar score. Three patients in the Innex group were lost to follow-up, and 27 matched pairs could finally be analysed. Results: At a mean follow up of 25 months (Innex) and 3 years (NexGen) statistically significant differences (p < 0.05) with advantages for the NexGen were found in the UCLA activity score (4.9 vs. 5.9,p = 0.013), in part A (knee score) of the Knee Society Score (78.9 vs. 91.0, p = 0.002) as well as the total score (153.9 vs. 173.2, p = 0.012), VAS (2.1 vs. 0.6, p = 0.003) and in the Lequesne score knee (5.7 vs. 3.6, p = 0.024). No statistically significant differences (p < 0.05) were found in the function score of the Knee Society Score and the patellar score (Feller). Conclusion: In the described setting there were functional advantages for the NexGen prosthesis (Femur first) at a comparable revision rate. However, satisfactory results with the Innex FIXUC are possible, too.