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Related Concept Videos

Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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Related Experiment Video

Updated: Jul 21, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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The AGC total knee prosthesis at average 11 years.

R H Emerson1, L L Higgins, W C Head

  • 1The Texas Center for Joint Replacement, Plano 75093-7916, USA.

The Journal of Arthroplasty
|July 7, 2000
PubMed
Summary

The AGC total knee replacement shows 95% survivorship at over 11 years, with good functional outcomes. Metal-backed patellae had a 5.5% failure rate due to wear-through.

Area of Science:

  • Orthopedic Surgery
  • Biomaterials Engineering

Background:

  • Total knee replacement (TKR) is a common procedure for end-stage knee arthritis.
  • Assessing long-term implant survivorship and functional outcomes is crucial for patient care.
  • The AGC prosthesis is a cemented total knee arthroplasty system.

Purpose of the Study:

  • To evaluate the long-term survivorship and clinical outcomes of the AGC total knee prosthesis.
  • To identify any specific component failures or complications associated with the AGC prosthesis.

Main Methods:

  • Retrospective review of 126 primary cemented AGC total knee replacements.
  • Long-term clinical follow-up of 62 knees (average 11.4 years).
  • Analysis of survivorship, range of motion, Knee Society scores, and component integrity.

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Main Results:

  • 95% survivorship at long-term follow-up (excluding sepsis-related revisions).
  • Average knee flexion of 110.9 degrees and high Knee Society scores (91 clinical, 67 functional).
  • No tibial polyethylene failure, osteolysis, or loosening; however, 5.5% of metal-backed patellae showed wear-through.

Conclusions:

  • The AGC prosthesis demonstrates comparable long-term survivorship to historical controls.
  • All-polyethylene patellae are now preferred by the authors due to observed wear issues with metal-backed designs.
  • The AGC prosthesis provides good functional outcomes in primary cemented total knee replacements.