Comparison of all-polyethylene and metal-backed tibial components in total knee replacement (TKA)
ESSKA Academy. Canata G. Nov 8, 2019; 284391; epEKA-61 Topic: Joint Replacement
Dr. Gian Luigi Canata
Dr. Gian Luigi Canata
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Comparison of all-polyethylene and metal-backed tibial components in total knee replacement (TKA)

ePoster - epEKA-61

Topic: TKA

Canata G.L.1, Casale V.2
1Koelliker Hospital, Centre of Sport Traumatology, Torino, Italy, 2Koelliker Hospital, Torino, Italy

Introduction: When performing a TKA, the tibial component design and material may influence the postoperative outcomes.
Objectives: Initially, all-polyethylene tibial (APT) components were used; over the last decades, metal-backed tibial (MBT) components have been developed with satisfying results. The superiority of one option to the other is still debated.
Aims: A retrospective study was started in 2013 to compare the results of TKA with APT component versus a cemented MBT component and a uncemented MBT component.
Methods: 478 patients were operated between 2013 and 2017 by the same surgeon. Exclusion criteria were: patients older than 80 years; rheumatoid arthritis; septic postoperative complications; revision surgeries; posterior-stabilized TKA; unicompartimental knee arthroplasties.
This study enrolls 158 patients (159 implants), divided into three groups.
In Group A, 53 MBT components in cemented CR TKA mean age 71 years(r.50-79) were implanted. They were compared with 53 APT components in cemented CR TKA, mean age 73 years(r.55-79) (Group B) and 53 MBT components in uncemented CR TKA, mean age 68 years(r. 43-79). Patients of group B and C were selected in close temporal proximity to those of the group A.
Pre- and postoperative evaluation performed with the Knee injury and Osteoarthritis Outcome Score (KOOS), the Visual Analogue Scale (VAS) and the postoperative Range Of Motion (ROM). The mean follow-up was 42 months (r.12-66). Statistics performed with the One-way Anova, the Mann- Whitney, and the Chi- Square tests.
Results: Group A: mean preoperative KOOS score 44,6 (SD 15,5), postoperative 88,5 (SD 16,3). Mean preoperative VAS score 7,6 (r.2-10), postoperative 0,9 (r.0-7). Mean postoperative ROM 0-0-134° (flexion r.100°-150°).
Group B: mean preoperative KOOS score 39,5 (SD 18,1), postoperative 85,5 (SD 19,2). Mean preoperative VAS score 7,6 (r.0-10), postoperative 1,3 (r. 0-9). Mean postoperative ROM 0-0-129° (flexion r.90°-140°).
Group C: mean preoperative KOOS score 40,9 (SD 20,1), postoperative 86,5 (SD 19,6). Mean preoperative VAS score 7,6(r.1-10), postoperative 1,2 (r.0-9). Mean postoperative ROM 0-0-132 (flexion r.90°-140°).
1 patient required revision surgery after a traumatic event. No statistically significant differences observed in postoperative outcomes (p>0.05).
Conclusions: APT or MBT components, both cemented and uncemented, are valid options for the treatment of knee osteoarthritis and provide similar clinical result.
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