Long-term results of «Universal» total knee endoprosthesis

Cover Page

Cite item


The objective - to evaluate long-term results and survival rates of «Universal» condylar knee prosthesis. Material and methods. There were a total of 121 total knee joint replacements in the set with 107 patients aged 71.3 years on average (52-86 years). A total of 115 knees diagnosed with osteoarthritis of the 3-4th degree were indicated for the surgery, and there were 6 patients with the diagnosis of rheumatoid arthritis. Functional outcomes were evaluated using the Knee Society Score (KSS), Results. The assessment of the knee state on a scale KSS average clinical section KSS (knee score) was 48.2, and functional (function score) - 46,8 points. After surgery, the indices increased to 87.4 points and 85.8 points, respectively. One complication was described during the surgery, namely - the fracture of the medial tibia condyle (0.8%). In the early post-surgery period, peroneal nerve paresis was observed in two patients (1.6%). In the postoperative period, disorders of the wound healing were observed in 6 patients (4.9%), which were healed successfully in a conservative way. In the late post-surgery period, there were infectious complications in the knee joint in 4 knee joints (3.3%). Aseptic loosening was observed in 4 cases out of 117 endoprostheses (3.4%). It always concerned the loosening of tibial component. The loosening of the femoral component was not observed. In the period from the implantation until June 2014, which is 16-22 years after the implantation, there are 16 patients in total surviving, who had a total of 21 implanted endoprostheses. Among them there are no signs of a loosening only in 4 patients (19%); there was an apparent radiolucent line up until 2 mm with a sclerotic rim under the tibial component. All the patients were without clinical symptoms for the loosening. Six female patients (28.5%) state troubles in the area of the femoro-patellar joint, where there is a lateralization of the patella, apparent on the X-ray images. Two patients (1.6%) experienced a periprosthetic femur fracture during the period of observation. It was possible to resolve this state by the distal femoral nail osteosynthesis. Upon assessing the results via the Kaplan-Meier curve method, the survival index was 98.7% after 7 years, 94.3% - after 22 years and 91.8% - after 22 years. Conclusion. The result of this study had showed the reliability of «Universal» prosthesis which can be recommended for the treatment of patients with degenerative knee disea;

About the authors

J. Pilny

Hospital Nove Mesto na Morave

Author for correspondence.
Email: pilny@ortopedie-traumatologie.cz
Russian Federation

J. Kubes

Pardubice Regional Hospital

Email: noemail@neicon.ru
Russian Federation

M. Perina

Pardubice Regional Hospital

Email: noemail@neicon.ru
Russian Federation

V. Basa

Polytechnic University

Email: noemail@neicon.ru
Russian Federation


  1. Безгодков Ю.А., Корнилов Н.Н., Петухов А.И., Куляба Т.А., Селин А.В., Муранчик Ю.И., Кроитору И.И., Игнатенко В.Л., Сараев А.В. Биомеханические показатели стояния и походки больных после тотального эндопротезирования коленного сустава с использованием компьютерной навигации. Травматология и ортопедия России. 2011; (3):11-17.
  2. Корнилов Н.Н., Куляба Т.А., Федоров Р.Э. Сравнительная оценка среднесрочных функциональных исходов одномыщелкового и тотального эндопротезирования коленного сустава с использованием различных балльных систем. Травматология и ортопедия России. 2012; (3):12-20.
  3. Тихилов Р.М., Корнилов Н.Н., Куляба Т.А., Сараев А.В., Игнатенко В.Л. Современные тенденции в ортопедии: артропластика коленного сустава. Травматология и ортопедия России. 2012; (2): 5-15.
  4. Bek J., Vavnk P., Landor P Evaluation of the survival of the Walter-Motorlet TKA: Long-term Outcomes. Acta Chir Orthop Traumatolog Cech. 2005; 72:221-226.
  5. Diduch D.R., Insall J.N., Scott W.N. et al. Total knee replacement in young active patients: long-term followup and functional outcome. J Bone Joint Surg Am. 1997; 79:575-582.
  6. Gill G.S., Chan K.C., Mills D.M. 5- to 18-year followup study of cemented total knee arthroplasty for patients 55 years old or younger. J Arthroplasty. 1997; 12:49-54.
  7. Font-Rodriguez D.E., Scuderi G.R., Insall J.N. Survivorship of cemented total knee arthroplasty Clin Orthop. 1997; (345):79-86.
  8. Insall J.N., Dorr L.D., Scott R.D., Scott W.N. Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res. 1989; 248:13-14.
  9. Rand J.A., Ilstrup D.M. Survivorship analysis of total knee arthroplasty: cummulative rates of survival of 9,200 total knee arthroplasties.J BoneJoint Surg Am. 1991; 73:397-409.
  10. Ranawat C.S., Flynn W.F., Deshmukh R.G. Impact of modern technique on long-term results of total condylar knee arthroplasty. Clin Orthop. 1994; (309):131-136.
  11. Ritter M.A., Campbell E., Faris PM., Keating E.M. Longterm survivor analysis of the posterior cruciate condylar total knee arthroplasty: a 10 year evaluation. J Arthroplasty. 1989; 4:293-296.
  12. Rodriguez J.A., Bhende H., Ranawat C.S. Total condylar knee arthroplasty: a 20 year follow-up study. In: Program and abstracts of the 67th annual meeting of the American Academy of Orthopaedic Surgeons; March 15-19, 2000; Orlando, Fla. Paper No. 188.
  13. Rybka V., Vavnk P, Landror I., Denk E, Hach J , Krnta T., Sftr M. All-polyethylene tibial component in Walter- Motorlet total knee arthroplasty. Long-term outcomes. Acta Chir Orthop Traumatolog Cech. 2014; 81:122-128.
  14. Taylor J., Rorabeck C.H., Bourne R.B., Inman K. Total knee arthroplasty in patients under the age of 50: longterm follow-up. In: Program and abstracts of the 67th annual meeting of the American Academy of Orthopaedic Surgeons; March 15-19, 2000; Orlando, Fla. Paper No. 185.
  15. Tomas T., Janicek P, Nachtnebl L., Emmer J. Plate osteosynthesis of femoral periprosthetic fracture arend TKA. Ortopedie. 2014; 8:60-65.
  16. Tomas T., Janicek P, Nachtnebl L., Rapi J. Treatment of periprosthetic fractures in the knee area using revision total knee arthroplasty. Ortopedie. 2014; 8:67-72.

Copyright (c) 2015

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 82474 от 10.12.2021.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies