Use of a Hinged Vitallium Prosthesis for Arthroplasty of the Knee

Young, H. Herman

doi:10.2106/00004623-196345080-00005

Cited by 57 publications

(16 citation statements)

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“…2 In this context the infection rates of the hinged St Georg and Blauth prostheses seem to be acceptable. In most studies in which RA and OA have been analysed separately the rate of infection is higher for RA 2,8,23,31,32 and in the study of Young 8 it was eventually 100%. In our study the cumulative incidence after 20 years was nearly equal for OA (6.3%) and RA (7.0%).…”

Section: Discussionmentioning

confidence: 99%

“…4,6,7,9,[18][19][20] None of these was particularly successful, and after the introduction of the total condylar prosthesis in 1974, 21 resurfacing became the standard in most centres. In 1969 the St Georg hinged total knee prosthesis was introduced in the Endo-Klinik at Hamburg, 22 and three years later, the first Blauth prosthesis was implanted in Tübingen.…”

Section: Discussionmentioning

confidence: 99%

“…2 Cemented condylar prostheses have become the most successful knee arthroplasties. 3 The poor results of hinged prostheses were associated with designs such as those of Shiers,4,5 Walldius, 6 Young 7,8 and Guepar. 9,10 Their main deficiencies were shown to be the non-anatomical position of the load-bearing axes, direct metal-to-metal transmission of load and the need for massive resection of bone.…”

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confidence: 99%

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Is there a future for hinged prostheses in primary total knee arthroplasty?

Böhm

Holy

1998

The Journal of Bone and Joint Surgery. British volume

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The Blauth prosthesis is a hinged total knee replacement. We have evaluated 422 consecutive primary total knee arthroplasties using this design in 330 patients with a maximum follow-up of 20 years (mean 6). The mean age of the patients at the time of operation was 70 years (29 to 87).Using endpoints of infection, removal because of aseptic loosening, removal for any cause, and the worst case as definitions of failure, the cumulative rates of survival at 20 years were 93.6%, 96.0%, 94.4% and 86.8%, respectively. The cumulative rate of survival of the patients themselves was 14.4% (24% in patients with osteoarthritis and 9% in these with rheumatoid arthritis) after 20 years.Our survivorship analysis shows that hinged knee prostheses, when they are biomechanically well designed, can yield a satisfactory long-term outcome, similar to those of the best prostheses of the resurfacing type. Hinged knee prostheses continue to be of value in patients with severe deformity or instability of the knee. [Br] 1998;80-B:302-9. J Bone Joint Surg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Is there a future for hinged prostheses in primary total knee arthroplasty?

Böhm

Holy

1998

The Journal of Bone and Joint Surgery. British volume

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“…Modifications of the hinge knee prosthesis were developed and reported by Shiers (1954Shiers ( , 1961, Young (1963Young ( , 1965, and a group in France which developed the prosthesis known as the Guepar (Mazas 1973) (Fig. 1.3).…”

Section: Total Knee Replacement Prosthesesmentioning

confidence: 99%

History of Total Knee Replacement

Murray¹

1991

Total Knee Replacement

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“…These are not necessarily independent. Example (3) may have contributed to (2) and (4), while Example (1) may have contributed to (2).…”

Section: Introductionmentioning

confidence: 99%

Design considerations in a rolamite knee joint prosthesis

Thornton

Predecki

1973

J. Biomed. Mater. Res.

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SummaryProblems encountered with existing total knee prostheses are briefly summarized. Existing prosthesis designs giving anatomically correct relative planar motion between femur and tibia are reviewed. A design incorporating a Rolamite suspension is proposed and evaluated. The design has the advantages of being closely anatomical in its motion having negligible friction or wear and requiring no lubrication. If substantial tendon damage is present the Rolamite design is easily modified to include a gear and rack.

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Use of a Hinged Vitallium Prosthesis for Arthroplasty of the Knee

Cited by 57 publications

References 0 publications

Is there a future for hinged prostheses in primary total knee arthroplasty?

Is there a future for hinged prostheses in primary total knee arthroplasty?

History of Total Knee Replacement

Design considerations in a rolamite knee joint prosthesis

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