Summary
The great number of knee-replacement systems makes a comparative study difficult. Even more confusing are the different criteria used for the evaluation of the results. After a critical review of what can be taken as proven facts, our own experience with the semiconstrained GSB-III knee prosthesis is critically analyzed. The survivorship method is used, presenting the cumulative success rate and analyzing the reasons for the failure rates. We feel that all authors presenting results of knee arthroplasty should adopt this method, using the same or at least comparable evaluation sheets (for instance, that of ERASS). Moreover, more attention should be given to bone dynamics in a prospective study using modern technology (CT densitometry). This will help to detect possible factors responsible for the failure of knee arthroplasty and possibly to prevent failure with medication.
Zusammenfassung
Die große Zahl verschiedener Kniegelenks-Systeme im prothetischen Ersatz erschwert vergleichendes Studium. Zusätzliche Schwierigkeiten erwachsen aus der Verwendung verschiedener Kriterien bei der Auswertung der Ergebnisse. Wir selbst haben zur Erfahrung mit der GSB-III Knie-Endoprothese kritisch analysiert, nachdem wir versucht haben nur eindeutige Fakten miteinzubeziehen. Wir verwendeten die sogenannte „survivorship” Methode (Überlebenskurven) und untersuchten die cumulative Erfolgsrate und die Gründe für die Fehlschläge. Wir vertreten die Auffassung, daß alle Autoren, die Ergebnisse über Knie-Arthroplastiken vorstellen, diese Methode verwenden sollten, wenn immer möglich unter Gebrauch desselben oder mindestens vergleichbarer Erhebungsbogen (z. B.
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References
Aubriot JH, Deburge A, Schramm P (1973) La prothèse Guépar. Acta Orthop Belg 39:257
Armitage P (1971) Statistical methods in medical research. Blackwell Scientific, Oxford, p 408
Blauth W (1974) Über eine neue Kniegelenk-Totalprothese. Med Orthop Tech 94:65
Blauth W (1986) Unsere Kniegelenkprothesen mit Patellaersatz. Z Orthop 124:218
Charnley J (1962) The long-term results of low-friction arthroplasty of the hip as primary intervention. J Bone Joint Surg [Br] 54:61
Cloutier JM, Colombet PH (1985) Arthroplastie totale du genou par prothèse non contrainte de Cloutier. Acta Orthop Belg 51:498
Coventry MB, Finerman GA, Riley LH (1972) A new geomedic knee for total knee arthroplasty. Clin Orthop 83:157
Dobbs HS (1980) Survivorship of total hip replacements. J Bone Joint Surg [Br] 62:168
Engelbrecht E, Zippel J (1973) The sledge prosthesis “model St. Georg”. Acta Orthop Belg 39:203
Freeman M, Swanson A, Todd RC (1973) Total replacement of the knee design. Considerations and early clinical results. Acta Orthop Belg 28:181
Goodfellow JW, Connor J (1986) Clinical results of the Oxford knee. Clin Orthop 205:21
Gschwend N, Scheier H, Bähler A (1974) The GSB knee prosthesis. The knee joint. Excerpta Medica, Amsterdam, p 261
Gschwend N, Ivošević-Radovanović D, Scheier H, Bähler A, Munzinger U (1987) Langzeitergebnisse mit der GSB-I Prothese. Primär- und Revisionsalloarthroplastik. Springer, Berlin Heidelberg New York, pp 3–21
Gschwend N, Scheier H, Bähler A, Meyer RP (1980) The GSB knee arthroplasty. Int Orthop 3:281
Gschwend N, Ivosević-Radovanović D, Kentsch A (1985) La prothèse totale de genou GSB. Acta Orthop Belg 51 (4):460–477
Gunston FH (1973) Polycentric knee arthroplasty. Clin Orthop 94:128
Hungerford DS, Krakow KA (1985) Total joint arthroplasty of the knee. Clin Orthop 192:23
Insall J (1983) Principles and techniques of knee replacement. Zimmer
Insall JN, Kelly M (1986) The total condylar prosthesis. Clin Orthop 205:43
Levis J, Galante J (1985) Workshop on the bone-joint implant interface. J Orthop Res 3:380
MacIntosh DL (1958) Hemiarthroplasty of knee using space-occupying prosthesis for painful varus and valgus deformities. J Bone Joint Surg [Am] 40:1431
Menschik A (1974) Mechanik des Kniegelenks. Z Orthop 112:481
Nieder E, Engelbrecht E, Keller A (1987) Totale intrakondyläre Scharniergelenksendoprothese mit Rotationsmbglichkeit — Endo-Modell. Orthop Praxis 5:402
Platt G (1967) Ten-year independent follow-up on mould arthroplasty of the knee. In: Chapchal G (ed) Synovectomy and arthroplasty in rheumatoid arthritis. Thieme, Stuttgart, p 187
Ranawat CS (1985) Total condylar knee arthroplasty, technique, results and complications. Springer, Berlin Heidelberg New York
Röttger J, Heinert K (1987) Beobachtungen und Ergebnisse nach 10 Jahren Implantation von Kniegelenkendoprothesen-Systemen Modell St. Georg. Orthop Praxis 6:487
Shiers LGP (1954) Arthroplasty of the knee. Preliminary report of a new method. J Bone Joint Surg [Br] 36:553
Sledge C (1975) Structure, development and function of joints. Orthop Clin North Am 6:619
Tew M, Waugh W (1982) Estimating the survival time of knee replacement. J Bone Joint Surg [Br] 64:579
Thomas W, Grunder H (1982) Die anatomische GT-Gleitachsendoprothese des Kniegelenks (Grunder Thomas). Z Orthop 120:22
Walker PS (1973) Trends in knee prosthesis development. Eng Med 2:76
Walldius B (1960) Arthroplasty of the knee using an endoprosthesis. Acta Orthop Scand 30:137
Waugh TR, Smith RC, Ansel SH (1972) U.C.I. Total knee surgical procedure. Wright Manufacturing Co, Memphis
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Gschwend, N., Ivošević-Radovanović, D. Proven and nonproven facts in knee arthroplasty. Arch. Orth. Traum. Surg. 107, 140–147 (1988). https://doi.org/10.1007/BF00451593
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DOI: https://doi.org/10.1007/BF00451593