Eur J Orthop Surg Traumatol (2008) 18:269–278
DOI 10.1007/s00590-008-0298-5
ORIGINAL ARTICLE
Results of a series of 113 ACADEMIA total knee prostheses with a follow-up at 5 years
M. Philippe · R. Petit · AGREG Group
Received: 25 July 2007 / Accepted: 30 November 2007 / Published online: 15 March 2008
© Springer-Verlag 2008
Abstract
Introduction One hundred and thirteen patients underwent the implantation of an ACADEMIA prosthesis between 1999 and 2000. The minimum follow-up period was 5 years. The ACADEMIA prosthesis is available in either uncemented or cemented model, in posterior-cruciate- retaining (PCL) and posterior-stabilised (PS) versions, with a Wxed plate. This is a continuous, retrospective, multicenter study; all etiologies were included. Degenerative lesions markedly predominated; there were 106 cases of primary prosthesis. Clinical signs: They were severe with a mean total preoperative 200-point score of 74 points. The surgical procedure: Cement was used for the femoral condyle in 69 surgical procedures, for the tibial platebase in 56 cases; all patients requiring prosthetic patella had a cemented model (93 cases). Postoperative supervision: Patients were asked to undergo the clinical and radiological review required for this study. Criteria for the evaluation of osseointegration of the arthroplasty and possible radiological reactions were recorded.
Results Postoperative complications come down to Wve cases of phlebitis treated with anticoagulation and two haematomas which did not require any revision procedure for surgical removal. Revision procedures: Seven patients were re-operated for various reasons. Analysis of the “200-point” overall score: The overall evaluation adding the examination score to the functional score gives an idea of the improvements obtained with the operation (74– 159). Flexion and pain: The mean preoperative Xexion was 107.3°; the mean postoperative Xexion is 108.6°. The mean pain grade starts at 10 in the preoperative period and is 42 in the postoperative period. Mechanical axes, varus and valgus displacements: In this series, the knee showed a normal axis in 95.5% of the patients operated on while they were.
Results of a series of 60 Academia total knee prostheses (30 Wxed platform and 30 rotating platform) after two years
Michel Philippe · Patrick O’Zoux
Received: 17 December 2007 / Accepted: 21 March 2008 / Published online: 26 April 2008
© Springer-Verlag 2008
Abstract Sixty patients received Academia prosthesis (FH Orthopedics) implants between January 2000 and June 2004. The patients were operated on by a surgeon experienced in carrying out knee arthroplasty. There were two series involving this population, which immediately and consecutively followed one another over time; the Wrst between 2000 and 2001 where the Wxed platform Academia prosthesis (“FP”) was Wtted, and the other was carried out between 2002 and 2004 using the rotating platform Academia prosthesis (“Rot”). The aim of this work was to Wnd out whether there were signiWcant diVerences in clinical and radiological results between the two types of bases used by the same surgeon within a homogeneous population. The secondary objective was to create a database of clinical and radiological results from these two types of prostheses in order to compare them with other series.

ACADEMIA documentation - PDF (6.32 Mo)
ACADEMIA ref mobile bearing - PDF (1.72 Mo)
ACADEMIA ref fixed bearing - PDF (1.88 Mo)
