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A total of 134 low-contact-stress (LCS) total knee arthroplasties (TKAs) with mobile meniscal bearings were implanted in 121 patients with a mean age of 74 years (range, 49-91 years) at the time of surgery. The radiographic results obtained from 91 prostheses at an average follow-up of 7.5 years (range, 4.8-9.6 years) showed that radiolucent lines (RLL) appeared most frequently near the tibial plateau (97%) and that most RLL were present immediately postoperatively (67%) or appeared within the first year (96%). RLL were predominantly nonprogressive (99%). Progressive RLL did not affect the fixation or stability of the prosthesis. There were no revisions for aseptic loosening. Cementless LCS TKA achieves excellent radiologic and clinical midterm results.

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http://dx.doi.org/10.1016/j.arth.2004.02.030DOI Listing

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Article Synopsis
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  • A retrospective review of 54 surgeries from 2014 to 2018 showed promising outcomes, with a patient demographic mostly of older women dealing with severe knee instability.
  • Results indicated a 95% reoperation-free survival rate at 2 and 5 years, significant improvements in patient-reported quality of life, and no signs of aseptic loosening on follow-up imaging.
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