Porous coated anatomie (PCA)‎ total knee replacement : early experience in Bahrain

Abstract EN

The first forty consecutive Porous Coated Ana-tomic (PCA) total knee replacements were reviewed in order to study the early results and identify problems and factors responsible for early failure.

The mean follow up was 24.5 months.

The most serious preoperative problem was small size bones rendering the use of jigs difficult- The majority of early complications were related to wound healing and one of the factors responsible might have been the very earl} use of Continuous Passive Motion (CPM).

Late eomplicati^ns included a case of patellar impingement and one of progressive instability.

There were 33 satisfactory knees (82.5%) and 7 failures (17.5%).

Faetors responsible for the early failures were mainly poor patient selection and technical errors at operation.