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Clinical and patient-reported outcomes of primary TKA with a single-radius design.

Total knee arthroplasty (TKA) is a cost-effective procedure used to treat degenerative knee disease with excellent long-term outcomes. However, TKA has not always resulted in excellent functional and patient satisfaction outcomes, partly due to the use of prostheses that did not reproduce natural knee kinematics. Due to a paucity of reports on single-radius designs, the authors evaluated the clinical and patient-reported outcomes of primary TKA in patients who had received a single-radius prosthesis. A total of 287 TKAs from 7 centers were prospectively evaluated. Mean follow-up was 5 years, with each patient undergoing year re-evaluation. Kaplan-Meier implant survivorship was 99.7% at a final follow-up of 7 years. The total reoperation rate was 1.4%. Clinical outcomes demonstrated significant improvements in Knee Society, Short Form 36, and activity scores at a mean follow-up of 5 years. The authors believe that various features of this prosthesis may have contributed to these excellent outcomes. Further longer-term studies are necessary to better evaluate these outcomes.