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Bicondylar St. Georg sledge knee arthroplasty
I Stockley1, D L Douglas, R A Elson
1Department of Orthopaedic Surgery, Northern General Hospital, Sheffield, England.
Clinical Orthopaedics and Related Research
|June 1, 1990
Summary
The St. Georg sledge knee arthroplasty offers substantial pain relief and improved function for patients. Most procedures showed good long-term results with minimal implant failure.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Knee arthroplasty is a common procedure for debilitating knee conditions.
- The St. Georg sledge knee arthroplasty is a specific type of bicondylar prosthesis.
Purpose of the Study:
- To evaluate the long-term outcomes of St. Georg sledge knee arthroplasties.
- To assess functional improvement, pain relief, and implant survival rates.
Main Methods:
- Retrospective review of 53 St. Georg sledge knee arthroplasties in 44 patients.
- Mean follow-up of 5.9 years (range 3-10 years).
- Assessment using the d'Aubigné scale, range of motion (ROM), and stability measurements.
Main Results:
- Substantial pain relief (75%) and improved functional ability.
- Significant improvement in ROM from 83° to 123° postoperatively.
- Low failure rate (5.7% revised) and minimal radiolucent lines (6.8%) at the tibial bone-cement interface.
Conclusions:
- St. Georg sledge knee arthroplasty can yield predictable and favorable outcomes.
- The procedure is effective in improving knee function and relieving pain.
- Careful patient selection and surgical technique are crucial for success.