Results and complications of the low contact stress knee prosthesis

We present the midterm results and complications of 101 low contact stress total knee replacements performed in 94 patients and reviewed at an average follow-up of 5.2 years (range, 4-8 years). The mean age at the time of surgery was 66 years (range, 53-76 years). Meniscal bearings were used in 83 knees and a rotating platform in the remaining 18 cases; cemented fixation was used only for 16 tibial components. At most recent follow-up, average knee and function scores were 93 and 78 points. None of the knees was revised because of loosening. Five knees showed distal femoral stress shielding. Complications included infection, supracondylar fracture, patellar component dislodgment, meniscal dislocation (2 cases), catastrophic wear of polyethylene, and progressive osteolysis (2 cases).