Long-term results of a rotationally unconstrained fixed-bearing total knee prosthesis

Int Orthop. 2024 Apr;48(4):965-970. doi: 10.1007/s00264-024-06097-5. Epub 2024 Feb 3.

Abstract

Purpose: Introduced in the market in 1990 by Ceraver (France), the posterior-stabilised (PS) Hermes prosthesis has limited literature regarding long-term survivability. The purpose of the study is to evaluate the survival and functional outcomes of the prosthesis.

Methods: A retrospective case series was performed including 164 patients (176 knees) having undergone total knee arthroplasty with the Hermes prosthesis between 1997 and 2000 with a follow-up period of 18 years.

Results: Kaplan-Meier analysis showed a survival rate of 99.4% (95% CI. 96.0-100.0%) at 18.4 years with one revision. At final follow-up, the International Knee Society (IKS) functional score was 93.2 ± 15.6 and IKS knee score was 99.1 ± 2.5.

Conclusion: The Hermes PS model is a low conformity prosthesis that offers reliable durability that is comparable to other popular designs while minimizing rotational constraints and having an approachable learning curve for new users.

Keywords: Hermes PS model; Low-conformity total knee prosthesis; Low-constraint total knee arthroplasty; Total knee arthroplasty.

MeSH terms

  • Arthroplasty, Replacement, Knee* / methods
  • Follow-Up Studies
  • Humans
  • Knee Joint / surgery
  • Knee Prosthesis*
  • Osteoarthritis, Knee* / surgery
  • Prosthesis Design
  • Prosthesis Failure
  • Retrospective Studies
  • Treatment Outcome