Early and mid-term results with the ATTUNE total knee replacement system compared to PFC Sigma: a prospective comparative study

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Bibliographic Details
Title: Early and mid-term results with the ATTUNE total knee replacement system compared to PFC Sigma: a prospective comparative study
Authors: Roland E. Willburger, Stella Oberberg
Source: Journal of Orthopaedic Surgery and Research, Vol 17, Iss 1, Pp 1-5 (2022)
Publisher Information: BMC, 2022.
Publication Year: 2022
Collection: LCC:Orthopedic surgery
LCC:Diseases of the musculoskeletal system
Subject Terms: Total knee arthroplasty, ATTUNE, PFC Sigma, PROMs, Radiolucent lines, Outcome, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935
Description: Abstract Purpose Up to 20% of all patients are not satisfied with the result after total knee arthroplasty (TKA). To improve patient satisfaction manufacturers have modified prosthesis design. The ATTUNE prosthesis is a modified version of the PFC Sigma. Aim of this study was to evaluate the outcome at 6 months and 5 years after TKA with ATTUNE compared to PFC Sigma. Methods Sixty patients were included prospectively (30 ATTUNE vs. 30 PFC Sigma). Knee Society Score and Hospital for Special Surgery Score were recorded preoperatively, at 6 months and at least 5 years postoperatively. At 5-years follow-up X-rays in two planes were evaluated, radiolucent lines were documented. Results Patient characteristics were similar in both groups. Both ATTUNE and PFC Sigma provided good to excellent clinical results. There were no statistically significant differences based on the overall scores and patient rated outcome measures. Nevertheless, patients in the ATTUNE group tended to be symptom-free earlier and to achieve better clinical results after 5 years. Conclusion Even with the scores not being significantly different here, the modified design of ATTUNE could increase long-term satisfaction with the implant and reduce the need for revision surgery. However, long-term results are required to prove this.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1749-799X
Relation: https://doaj.org/toc/1749-799X
DOI: 10.1186/s13018-022-03397-7
Access URL: https://doaj.org/article/def7136a9cea47ebaca078d326d6d32d
Accession Number: edsdoj.f7136a9cea47ebaca078d326d6d32d
Database: Directory of Open Access Journals
Description
Abstract:Abstract Purpose Up to 20% of all patients are not satisfied with the result after total knee arthroplasty (TKA). To improve patient satisfaction manufacturers have modified prosthesis design. The ATTUNE prosthesis is a modified version of the PFC Sigma. Aim of this study was to evaluate the outcome at 6 months and 5 years after TKA with ATTUNE compared to PFC Sigma. Methods Sixty patients were included prospectively (30 ATTUNE vs. 30 PFC Sigma). Knee Society Score and Hospital for Special Surgery Score were recorded preoperatively, at 6 months and at least 5 years postoperatively. At 5-years follow-up X-rays in two planes were evaluated, radiolucent lines were documented. Results Patient characteristics were similar in both groups. Both ATTUNE and PFC Sigma provided good to excellent clinical results. There were no statistically significant differences based on the overall scores and patient rated outcome measures. Nevertheless, patients in the ATTUNE group tended to be symptom-free earlier and to achieve better clinical results after 5 years. Conclusion Even with the scores not being significantly different here, the modified design of ATTUNE could increase long-term satisfaction with the implant and reduce the need for revision surgery. However, long-term results are required to prove this.
ISSN:1749799X
DOI:10.1186/s13018-022-03397-7