ABSTRACT
The 4-year outcomes of a prospective study of patients undergoing Triathlon total
knee arthroplasty (TKA) are presented. There were 2035 consecutive cemented TKAs performed
on 1688 patients. Mean follow-up was 21 months, including 713 knees with a follow-up
of ≥2 years. In a subgroup of 239 patients, the coverage of the patella cut surface
by the patella component was analyzed. To our knowledge, this is the first article
to study this issue. Mean Knee Society pain scores improved from 48 to 96, function
improved from 63 to 85, and range of motion improved from a mean of −5° to 104° to
a mean of −2° to 126°. Coverage of the patella by the prosthesis was full from medial
to lateral in 88% and full from proximal to distal in 91% of knees. The implant system
has performed well within the follow-up period, with no implant- or design-related
failures.