Long term survivorship following Scorpio Total Knee Replacement

• We assess the long term (10 + year) survivorship of the Scorpio Total Knee Replacement.
• We assess functional outcomes using WOMAC and OKS patient reported outcome measures.
• We assess radiological outcomes using a standardised system.
• Despite initial concerns regarding survivorship, the Scorpio Total Knee Replacement demonstrates no increased revision rates.

BackgroundThe Scorpio Total Knee Replacement (TKR) is one of the most commonly used prosthesis in the United Kingdom. Concerns arose at our institution that there was a high revision rate for this prosthesis. No study has assessed survivorship of this prosthesis over 10 years.MethodsFour hundred and fifty-six consecutive patients, who underwent a primary Scorpio TKR, were clinically and radiologically evaluated. WOMAC, Oxford Knee Score and all complications including the reason for revision surgery were recorded. The Knee Society Roentgenographic Evaluation and Scoring System was used to evaluate all radiographs for prosthesis alignment and degree of subsequent lucency. Survival analysis for the prosthesis was calculated using Kaplan–Meier curves, with revision as an end-point. Patient reported outcome measures were compared against radiographic evaluation.ResultsAt a mean of 12.5 years (range 10–14 years), 196 (43.0%) patients were available for review; 124 (27.2%) were lost to follow-up and 136 (29.8%) patients had died of unrelated causes. Seven (3.6%) patients required revision surgery at a mean of 5.4 years; five because of aseptic loosening and two because of septic loosening. Cumulative survival for the prosthesis was 99.5% for any cause at five years and 97.4% at 14 years. The mean OKS and WOMAC score at final follow-up was 30.64 (range12–48) and 74 (18.9–100) respectively.ConclusionThe Scorpio TKR has good long term survivorship and functional outcomes. There is no apparent increased revision rate for this prosthesis in our study.Level of evidenceLevel IV case series.