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Volume 2012 (2012), Article ID 213817, 7 pages
Clinical Study

The Columbus Knee System: 4-Year Results of a New Deep Flexion Design Compared to the NexGen Full Flex Implant

1Orthopaedic Clinic Donaueschingen, Karlstraβe 10, 78 166 Donaueschingen, Germany
2Orthopaedic Department, University of Göttingen, Robert Koch Straβe 40, 37 075 Göttingen, Germany

Received 15 November 2011; Revised 17 December 2011; Accepted 19 December 2011

Academic Editor: Changhai Ding

Copyright © 2012 D. Goebel and W. Schultz. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The Columbus knee system is designed as a standard knee implant to allow high flexion without additional bone resection. Between August, 2004 and March, 2010 we performed 109 total knee arthroplasties of the Columbus knee system in 101 consecutive patients suffering from primary arthrosis of the knee. Mean age was 72.4 years in women and 70.3 years in men. Mean followup was 47.3 months. The 4-year results of a group of patients who received the NexGen Full Flex implant operated by the same surgeon were used for comparison. Mean total knee score was Columbus: 175.6 and NexGen Flex: 183.4; 𝑃 = 0 . 0 3 7 . Mean operation time was 53 min for Columbus and 66 min for NexGen Flex; 𝑃 < 0 . 0 0 1 . With new streamlined instruments operative time became 60 min for the Columbus; 𝑃 > 0 . 0 5 . Radiological assessment showed no signs of loosening for both groups. Therefore, the Columbus knee system can be recommended for flexion angles up to 1 4 0 .