We evaluated 360 Townley arthroplasties in 167 OA and in 193 RA knees,
performed between 1978-1986. 35 revisions were performed during the f
ollow-up time. The main reasons for revision were aseptic loosening (1
8 knees), instability (6 knees), and infection (5 knees). The durabili
ty of different prosthesis components and of different tibial trays in
relation to loosening were analyzed separately. The probability of th
e prosthesis remaining in situ was 94 percent after 5 years and 89 per
cent after 10 years. The success rate at 10 years was not significantl
y higher in arthrosis (94 percent) than in rheumatoid arthritis (85 pe
rcent). The other patient-related factors, age, sex, weight, did not i
nfluence the results. Comparing the different prosthesis components an
d the different designs of the tibial tray, we found no differences in
success rates.