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Cemented Rotating-Platform Total Knee Replacement

A Concise Follow-up, at a Minimum of Fifteen Years, of a Previous Report*

Callaghan, John J., MD1; O'Rourke, Michael R., MD1; Iossi, Michael F., BS1; Liu, Steve S., MD1; Goetz, Devon D., MD2; Vittetoe, David A., MD2; Sullivan, Patrick M., MD2; Johnston, Richard C., MD1

doi: 10.2106/JBJS.D.03039
Scientific Articles
Supplementary Content

Abstract: We previously evaluated 119 consecutive total knee arthroplasties that were performed in eighty-six patients with use of the cemented LCS (low contact stress) rotating-platform system with an all-polyethylene patellar component. The average age of the patients at the time of surgery was seventy years (range, thirty-seven to eighty-eight years). The purpose of this study was to report the updated results at a minimum follow-up of fifteen years.

Thirty-seven patients (fifty-three knees) were living, and no patient was lost to follow-up. No knee was revised because of loosening, osteolysis, or wear. Three knees required a reoperation (two for periprosthetic fractures and one for infection). No component was revised as a part of the reoperations. Osteolysis was present in three knees. No knee had radiographic signs of component loosening, and there were no dislocated bearings. The average range of motion was from 1° of extension to 105° of flexion. The average clinical and functional Knee Society scores were 43 and 49, respectively, at the preoperative evaluation and 85 and 58 at the time of the final follow-up. We concluded that the cemented LCS rotating-platform knee performed well, with durable clinical and radiographic results at a minimum follow-up of fifteen years.

Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.

1 Department of Orthopaedics and Rehabilitation, University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242. E-mail address for J.J. Callaghan:

2 Des Moines Orthopaedics, 6001 Westown Parkway, West Des Moines, IA 50266-7702

Copyright © 2005 by The Journal of Bone and Joint Surgery, Incorporated
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