Abstract

We performed a series of total knee arthroplasties (TKA), using the Kinematic stabilizer Total knee System (TKS) in rheumatoid arthritic knees, especially those with severe deformity. Since 1990, we changed from the Kinematic TKS to Kinemax TKS and now report on our follow-up study of this Kinemax stabilizer TKS. Forty five TKA with Kinemax stabilizer were performed in thirty one patients between January, 1990 and June, 1991. All cases were reviewed for this study. The follow-up period ranged from 5 to 20 months (mean 12 months). Clinical results were evaluated using the Japanese Orthopaedic Association (JOA) scoring system and rediograpic analysis was carried out. The preoperative mean JOA score was 38.6 increasing postoperatively to 78.6. Radiographic alignment data were all satisfactory. We concluded that the Kinemax stabilizer TKS was favorable for use in the severely deformed rheumatoid arthritic knee.

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