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REVISION TOTAL KNEE REPLACEMENT USING A MODULAR REVISION PROSTHESIS- SHORT TO MEDIUM TERM FOLLOW UP



Abstract

Aim: The aim of this study was to evaluate the results of the Co-ordinate revision knee prosthesis (Depuy Ltd, Johnson and Johnson, Warsaw, In) between 1995–2001.

Methods: One hundred and thirty-three knees (126 patients) undergoing revision total knee replacement between 1995–2001 were followed up prospectively. Surgery was performed by one surgeon (senior author). The patients were scored pre-operatively and postoperatively with SF-12 and WOMAC score. Surgery was performed for aseptic loosening (92%) and infection (8%). The changes in SF-12 physical score and the WOMAC score between pre and post operation were significant (SF-12 p < 0.0018, WOMAC pain p< 0.0001, WOMAC stiffness p< 0.0001, WOMAC Function p< 0.0001)). The prosthesis produced reliable relief of pain and improved range of movement with minimal complications.

Conclusion: This modular knee revision system produced satisfactory results in dealing with bone loss and instability in the medium term.

The abstracts were prepared by Mr Roger Smith. Correspondence should be addressed to him care of the British Orthopaedic Association, Royal College of Surgeons, 35-43 Lincoln’s Inn Fields, London WC2A 3PN.