Townley anatomic total knee arthroplasty using total tibial component with cruciate release

The results (average follow-up of 29 months) of the Townley anatomic knee replacement utilizing cruciate release with total tibial component variant is presented in 72 patients with 88 knee replacements. Postoperatively, 94% of the patients had mild or no pain, 99% were able to walk outdoors with minor or no restriction, 82% had flexion of greater than 80 degrees. Ninety-eight per cent of the patients were realigned within 10 degrees of varus/valgus postoperatively. Revision surgery was required in four cases for loosening and in one case for infection. Resurfacing total knee replacements, including the Townley type, appear to be approaching an acceptable level of efficiency and performance, but extensive long-term follow-up is essential for a definitive evaluation of this method.