Primary total knee arthroplasty using rotating-hinge prosthesis in severely affected knees

Yang, Jae Hyuk; Yoon, Jung Hwan; Oh, Chi Hun; Kim, Taik Sun

doi:10.1007/s00167-011-1590-1

Cited by 54 publications

(52 citation statements)

References 36 publications

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“…Primary postero-stabilised (PS) designs may be used if the ligaments are intact and bone defects are minimal [12], whereas hinged prostheses are necessary in cases of ligament absence/disruption with moderate or severe bone loss [5,15]. Condylar constrained knee (CCK) prostheses are semi-constrained nonhinged implants, which represent an excellent alternative to the hinged prostheses.…”

Section: Introductionmentioning

confidence: 99%

Constraint choice in revision knee arthroplasty

Vasso

Beaufils

Panni

2013

International Orthopaedics (SICOT)

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Purpose Along with the increase in primary total knee arthroplasty, there has been an increase in the number of revisions. The aim of this study was to propose a selection algorithm for the knee revision constraint according to the state of ligaments and to the bone defects Anderson Orthopaedic Research Institute Classification [AORI] classification. The hypothesis was that this algorithm would facilitate the appropriate choice of prosthesis constraint, thus providing stable components and a good long-term survivorship of the knee revisions. Methods Sixty consecutive revision knee arthroplasties in 57 patients were prospectively evaluated. Prostheses implanted at revision included postero-stabilised, condylar constrained and rotating hinged, relative to the state of the ligaments and of the bone loss around the knee. The median follow-up was nine years (range, 4-12). Results The median IKS knee and function scores and HSS score were 41 (15-62), 21.5 (12-43) and 34 (23-65) points, respectively, before the operation, and 81 (48-97), 79 (56-92) and 83.5 (62-98) points (p<0.001) at the latest followup evaluation. The median ROM increased from 74°(29-110°) preoperatively to 121°(98-132°) (p<0.01) at the final follow-up. Re-revision was necessary in five (8.3 %) patients. Conclusions A selection algorithm for the revision implant constraint based on the state of ligaments and the bone loss AORI classification could provide stable knee reconstructions and long-term success of knee revisions.

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Section: Introductionmentioning

confidence: 99%

Constraint choice in revision knee arthroplasty

Vasso

Beaufils

Panni

2013

International Orthopaedics (SICOT)

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“…Another option that may be used to achieve adequate symmetry of the extension and flexion gaps is to augment the constraint by using a varus-valgus constraining tibial insert [9]. In the case of global ligamentous laxity, a hinge may be used to achieve adequate stability and symmetric extension and flexion gaps [12]. We were able to achieve symmetric extension and flexion gaps with soft-tissue release and did not require the use of a lateral epicondylar sliding osteotomy or hinge.…”

Section: Discussionmentioning

confidence: 99%

Total knee arthroplasty in patients with multiple hereditary exostoses

et al. 2018

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We present a case report of a patient with severe valgus deformity of the right knee due to multiple hereditary exostoses (MHEs) treated with total knee arthroplasty (TKA). The surgical management of MHE affecting the knee encompasses exostoses resection, joint deformity rectification, and limb-length discrepancy alignment. On rare occasions, distraction osteogenesis and TKA have been used to correct valgus deformities of the knee. TKA in MHE patients with knee involvement has only been described in 6 cases. Several considerations, such as extensive knowledge of frequently occurring skeletal aberrations, are required to successfully correct the deformities associated with MHE via TKA. This report describes a case of severe valgus knee deformity with a rotational component in MHE managed with TKA, the surgical technique, and future recommendations.

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“…[27][28][29][30] Yang JH et al retrospectively reviewed 50 cases who underwent primary TKA using rotating hinge prosthesis. 28 Their indications included severe primary osteoarthritis with ligament laxity, severe rheumatoid arthritis with extreme ligament instability, bone loss, supracondylar non-union, charcot arthropathy, and posttraumatic arthritis. Results showed substantial improvement of function and reduction of pain.…”

Section: Discussionmentioning

confidence: 99%

Constraints in total knee arthroplasty: current status and review of literature

2017

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Appropriate selection of prosthesis is critical for success of total knee arthroplasty. It is a daunting task of arthroplasty surgeon to choose from a wide array of implant design for a given situation to confer optimal stability, which translates into satisfactory outcome. Contemporary evolution of prosthetic design with various levels of constraints has revolutionized the approach to total knee arthroplasty. This paper deals with the succinct review of the level of constrained prosthesis available for knee arthroplasty.

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Primary total knee arthroplasty using rotating-hinge prosthesis in severely affected knees

Abstract: Retrospective therapeutic study, Level IV.

Cited by 54 publications

References 36 publications

Constraint choice in revision knee arthroplasty

Constraint choice in revision knee arthroplasty

Total knee arthroplasty in patients with multiple hereditary exostoses

Constraints in total knee arthroplasty: current status and review of literature

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