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or fixed, progression of the disease or loosening being the most common. Less frequent failures are infection, peri-prosthetic fractures, persistent pain or ankylosis. Between these two groups, there is a major difference: in one, failures are due to
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constitutional anatomies might predispose the patient to arthritis ( 18 ) and prosthetic complications if recreated during surgery ( 19 ). For these reasons, limb and joint alignment boundaries are still debated ( 19 , 20 , 21 ). More outlying anatomies may be
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, prosthetic infection is with an incidence rate of 0.69–2.2% ( 13 , 14 ). Once infection occurs, it requires surgery and long-term use of antibiotics to be treated, and treatment failure is common. Given the difficulty of treating infections, preventing
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exchanged. 3 , 11 , 22 , 24 The bearings are removed to provide better access to all prosthetic surfaces, and not exchanging the polyethylene liners has been reported to increase the risk of failure. 24 , 73 Antibiotic choice and duration of treatment
Academic Department of Trauma and Orthopaedics, LGI, University of Leeds, Leeds, UK
Leeds Teaching Hospitals Trust, UK
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looking at the PFJ in KA TKR have shown that both KA and MA knee replacements have a tendency to understuff the PFJ, creating a prosthetic groove that is more valgus than the native trochlea. 44 , 45 The authors conclude that a more specific KA knee
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infections . Infect Control Hosp Epidemiol 2019 ; 40 : 211 – 213 . 31. Jamakorzyan C Meyssonnier V Kerroumi Y et al. Curative treatment of prosthetic joint infection in patients younger than 80 vs. 80 or older . Joint Bone
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results without incurring higher risks than the two-stage bilateral UKA. These findings are of clinical relevance, due to the high socio-economic costs of patients affected by OA and in particular those undergoing prosthetic resurfacing. 40 The single
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.ST.K.00048 ) 10 Bruegger A Borens O & Steinmetz S . Prosthetic fitting associated with better survival at 5 years after above- knee amputation due to vascular insufficiency . Annals of Physical and Rehabilitation Medicine 2023 66 101727 . ( https
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at five years was lower than that typically published for UKA. The accumulated implant survival at five years was 98.8%, and the survival time was 5.8 years on average. Table 5 summarizes primary data regarding outcomes and prosthetic survival
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, inadequate femoral or tibial resection, slope, removal of posterior osteophytes, or inappropriate joint line position can increase its incidence. 6 Rotational malalignment of prosthetic components, and malalignment in the coronal or sagittal planes may
