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Press-Fit Condylar Design Total Knee ArthroplastyFourteen to Seventeen-Year Follow-up
David J. Rodricks, MD1; Shantanu Patil, MD1; Pamela Pulido, BSN1; Clifford W. ColwellJr., MD1
1 c/o Mary E. Hardwick, MSN, Shiley Center for Orthopaedic Research and Education at Scripps Clinic, 11025 North Torrey Pines Road, Suite 140, La Jolla, CA 92037. E-mail address for C.W. Colwell: colwell@scripps.edu. E-mail address for M.E. Hardwick: mhardwick@scrippsclinic.com
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Disclosure: The authors did not receive grants or outside funding in support of their research for or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Note: The authors thank Mary E. Hardwick, MSN, department publications manager, for her assistance in the preparation of this manuscript.
Investigation performed at the Shiley Center for Orthopaedic Research and Education at Scripps Clinic, La Jolla, California

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Jan 01;89(1):89-95. doi: 10.2106/JBJS.E.00492
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Background: The Press-Fit Condylar total knee arthroplasty implant design has been used by many orthopaedic surgeons over the last twenty years. The design has survived with relatively minor modifications and remains a popular implant system today. The present study represents the fourteen to seventeen-year results for our patients who were described in our previous report on the eight to ten-year results.

Methods: The senior author performed 160 consecutive total knee arthroplasties with use of the Press-Fit Condylar cruciate-retaining device in 134 patients between 1986 and 1989. The mean age of the patients at the time of the index procedure was 70.5 years. Follow-up data were available for sixty-three of sixty-four surviving knees. Surviving patients were followed for a mean of 15.8 years. The knees were evaluated on the basis of Knee Society function and clinical scores, radiographs, and survivorship analysis.

Results: The mean Knee Society function score was 65, and the mean clinical score was 89. The overall survival rate of the knee was 91.5% with revision for any reason as the end point and 97.2% with aseptic loosening as the end point. The rate of revision of the tibial insert because of wear-related aseptic loosening was 2.5%. We found no relationship between revision and the shelf life or method of sterilization of the polyethylene insert. Radiolucent lines were present in 62% (twenty-one) of thirty-four knees; all radiolucent lines were nonprogressive. None of the implants were loose according to the criteria of the Knee Society.

Conclusions: This long-term analysis indicates that the Press-Fit Condylar total knee implant is a successful implant system with excellent longevity.

Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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