Revisiting the universal femoral component: Midterm outcomes of a modern design.

Introduction: Approximately 10 years ago a total knee arthroplasty system with a modern universal femoral component was introduced. It includes a symmetrical femoral and tibial component. The purpose of this study was to evaluate the 6-year clinical outcomes of this implant from a single surgeon.

Materials And Methods: A retrospective chart review was performed on all patients who received a TJO Klassic® Knee from January 2014 to January 2015 (Total Joint Orthopedics Inc., Salt Lake City, Utah). In total there were 131 patients (149 knees) who underwent total knee arthroplasty with this system. A retrospective chart review was performed including demographics, preoperative and postoperative clinical assessments including Knee Society score (KSS), range of motion, and radiographic assessment.

Results: There were 60 males (45.8 %) and 71 females (54.2 %) with 149 knees available for review. Mean age at time of surgery was 67.4 years (45-91) and BMI was 32.6 kg/m (16.6-54.6). The patella was left unresurfaced in 37 knees (24.8 %), KSS scores including the clinical and functional components all improved significantly (p < 0.001). ROM improved significantly (p < 0.001). 9 knees underwent reoperation within 6 years of their index operation: 2 quadriceps tendon repairs, 3 polyethylene exchanges for laxity, 2 two-stage revisions for infection, 1 revision for aseptic loosening of the femur, and 1 for post-traumatic patella fracture.

Conclusion: 6-year outcomes of a modern universal femoral design demonstrate excellent clinical results and survivorship equal to modern asymmetrical femur designs. There were no known instances of patellar maltracking.