Richard Villar - World-recognised hip and knee surgeon

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Knee Replacement - Results

 

The results of knee replacement are many and diverse. As a rough guide one can say that approximately 8% of primary knee replacements will be loose at ten years after surgery. One can consider the results in more detail, however:

 

Results for cemented knee replacement

In the early days of hinged knee replacement, up to 75% were functioning six years after surgery. However, infection rates could be as high as 13%. Rotating hinges showed 60% success at 4 years, although with an 11% infection rate. Total condylar replacements show 92% success at 12 years, an excellent result.

 

Results for cementless knee replacement

Approximately 93% of certain cementless designs show good function at 10 years after surgery.

 

Results for revision knee replacement

For revisions, infection rates are higher, as high as 19% in some studies. Nevertheless, a success rate of 70-80% can be expected in the short term.

 

Results for unicompartmental (partial) knee replacement

An over 80% success rate at 10 years can be found but this is very variable.