Complications following rotating hinge Endo-Modell (Link®) knee arthroplasty

Guenoun, B.; Latargez, L.; Freslon, M.; Défossez, Gautier; Salas, N.; Gayet, L.-É.

doi:10.1016/j.otsr.2009.07.013

Cited by 73 publications

(51 citation statements)

References 24 publications

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“…High complication rates are common for revision surgery in general and especially when hinged-like designs are used [10,11,24,31]. Our complication rate was also relatively high and even higher than those of the above mentioned authors (23% vs. 18% and 12.5%).…”

Section: Discussioncontrasting

confidence: 43%

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Complex total knee arthroplasty using resection prostheses at mid-term follow-up

2012

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Section: Discussioncontrasting

confidence: 43%

“…Which probably could be explained by the high number of infection cases in our study [7,8,11,23,24,31]. Seven patients (eight arthroplasties) were younger as 50 years, averaging 40 years.…”

Section: Discussionmentioning

confidence: 79%

Complex total knee arthroplasty using resection prostheses at mid-term follow-up

2012

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“…The clinical outcome and prosthetic survival of all modular tumor and revision systems are clearly inferior to those of conventional total hip or total knee systems 1920. These implant systems are used on large osseous defects which need to be bridged and soft tissue defects.…”

Section: Discussionmentioning

confidence: 99%

Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System

Marczak

Kowalczewski

Czubak

et al. 2017

IJOO

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Background:The original knee megaprostheses with fixed or rotating hinge articulation were custom made and only used for reconstruction of the knee following distal femoral or proximal tibial tumor resections. The aim of the study was to analyze the short- and mid-term results of revision total knee arthroplasty with Global Modular Replacement System (GMRS) used in difficult situations not amenable to reconstruction with standard total knee replacement implants.Materials and Methods:Nine patients (9 knees) were treated with this comprehensive modular implant system, with a mean age of 73.7 years (range 56–83 years) and a mean followup of 5 years (range 3–8 years). Two patients were treated for distal femoral nonunion, five for distal femur periprosthetic fracture and two for periprosthetic joint infection.Results:The mean Knee Society Score: Knee and functional scores were 77.9 and 40 points, respectively. All demonstrated full extension and flexion was at least 90°. Recurrence of infection was present in one patient. No signs of loosening, dislocation, or implant failure were observed.Conclusions:Based on our small series of patients that represent severe cases, GMRS provides relatively good mid-term functional results, pain relief, and good implant survivorship with a low complication rate. This salvage procedure allows elderly, infirm patients to regain early ambulatory ability.

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“…9,10 Survivorship will also be reduced due to the increased stress placed at the implant-bone interface, secondary to the less normal kinematics of the joint and resulting increased forces generated. 11 Even the scores for clinical results seem to be worse than in conventional non-constrained replacement of the knee.…”

Section: Introductionmentioning

confidence: 99%

“…12 In cases requiring explantation or a revision procedure, surgical options are limited and can be accompanied by a related loss of function. 9 …”

Section: Introductionmentioning

confidence: 99%

Mid-term results after implantation of rotating-hinge knee prostheses: primary versus revision

Efe

Roessler²,

Heyse³

et al. 2012

Orthop Rev

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The aim of the study was to evaluate the mid-term clinical results and survivorship of a rotating-hinge knee prosthesis (LINK® Endo-Model) in difficult primary and complex revision situations. Results after primary implantation were compared with those of revision procedures. Forty-nine prostheses in 45 patients were reviewed clinically during follow up. Twenty-one of these were implanted in primary and 28 in revision situations. Outcome was evaluated using commonly used scores (Knee Society, UCLA Activity, Lequesne) and a visual analog scale after a mean follow up of 56±37 months for 49 prostheses. Implant survival was analyzed using the Kaplan-Meier method. There were no significant differences in clinical examination and evaluation scores between the two groups (P>0.05). Survival rates at final follow up were 95% after primary implantation and 76% in revision procedures. The risk of prosthesis loss (odds ratio 5.7) was significantly higher after revision procedures (P=0.004). These data suggest that rotating-hinge knee prostheses provided good clinical and functional results in selected cases of advanced primary gonarthrosis associated with severe bone loss, ligamentous instability or comminuted fractures. They also provide good results in revision situations. However, the failure rate was significantly higher in cases of revision surgery.

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Complications following rotating hinge Endo-Modell (Link®) knee arthroplasty

Abstract: Level IV. Retrospective therapeutic study.

Cited by 73 publications

References 24 publications

Complex total knee arthroplasty using resection prostheses at mid-term follow-up

Complex total knee arthroplasty using resection prostheses at mid-term follow-up

Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System

Mid-term results after implantation of rotating-hinge knee prostheses: primary versus revision

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