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We reviewed the long-term clinical and radiological results of 63 uncemented Low Contact Stress (LCS) total knee replacements (TKRs) in 47 patients with rheumatoid arthritis. The mean age of the patients at the time of surgery was 69 years (53 to 81). At a mean follow-up of 22 years (20 to 25), 12 patients were alive (17 TKRs), 27 had died (36 TKRs), and eight (ten TKRs) were lost to follow-up. Revision was necessary in seven patients (seven TKRs, 11.1%) at a mean of 12.1 years (0 to 19) after surgery. In the surviving ten patients who had not undergone revision (15 TKRs), the mean Oxford knee score was 30.2 (16 to 41) at a mean follow-up of 19.5 years (15 to 24.7) and mean active flexion was 105° (90° to 150°). The survival rate was 88.9% at 20 years (56 of 63) and the Kaplan-Meier survival estimate, without revision, was 80.2% (95% confidence interval 37 to 100) at 25 years.

Original publication




Journal article


The bone & joint journal

Publication Date





1497 - 1499


Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK.


Humans, Arthritis, Rheumatoid, Prosthesis Failure, Treatment Outcome, Arthroplasty, Replacement, Knee, Reoperation, Survival Rate, Survival Analysis, Follow-Up Studies, Prospective Studies, Prosthesis Design, Knee Prosthesis, Stress, Mechanical, Aged, Aged, 80 and over, Middle Aged