The Role of the Rotating Hinge Prosthesis in the Salvage Arthroplasty Setting

Deehan, David J.; Murray, J. D.; Birdsall, Paul; Holland, J; Pinder, I. M.

doi:10.1016/j.arth.2007.05.055

Cited by 73 publications

(58 citation statements)

References 13 publications

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“…Clinical studies of modern-generation rotating-hinge prostheses have been reported by numerous authors [2,6,9,[13][14][15][16]. Numerous authors have reported improvements in pain and function [2,9,10,13] and ROM [10,15] after the use of rotating-hinge prostheses.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous authors have reported improvements in pain and function [2,9,10,13] and ROM [10,15] after the use of rotating-hinge prostheses. Despite these findings, major complication rates ranging from 0% to 44% at 3.8 to 15 years have been reported secondary to infection, aseptic loosening, patellar instability, and prosthetic dislocation [6,16]. Less common modes of failure also have been identified, including failure of the polyethylene bushing [20], fracture of the tibial metal post [18], fracture of the tibial yoke [8], failure of an antidislocation mechanism [12], and tibiofemoral distraction disengagement [21].…”

Section: Discussionmentioning

confidence: 99%

“…Despite reports of reduced pain and improved ROM, Knee Society scores, and patient satisfaction after the use of modern-generation rotatinghinge prostheses in complex revision situations [1,6], medium-and long-term followup is limited [2,6,9,13,14,16] and some authors continue to report complications and failures related to aseptic loosening, infection, and periprosthetic fracture with these devices [14,19]. None of these described failures of the hinge mechanism.…”

Section: Introductionmentioning

confidence: 99%

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Case Report: Failure of Rotating-hinge Total Knee Prosthesis by Disengagement of the Hinge-post Extension

Biswas

Haughom

Mayle

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Although modern-generation rotating-hinge knee implants have been modified to mitigate earlier complications related to aseptic loosening with these devices in revision TKAs, there are few, if any, reports of failure related to the hinge mechanism in these prostheses. Case Description We present a case of disengagement of the hinge-post extension in a contemporary rotating-hinge knee prosthesis originally implanted during revision surgery for instability and extensor mechanism insufficiency. We hypothesize the screw home kinematics of the knee resulted in a counterclockwise torque, contributing to the hinge post locking screw disengagement in this case. Literature Review Although some authors have reported complications and failures related to aseptic loosening with rotating-hinge knee prostheses, there have been no reports regarding complications related to the hinge mechanism, which simultaneously links and permits rotation between the femoral and tibial components. Clinical Relevance Arthroplasty surgeons who use rotating-hinge knee prostheses need to be aware of this potential mode of failure. Design modifications, including more secure locking mechanisms and side-specific implants, may avoid this complication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case Report: Failure of Rotating-hinge Total Knee Prosthesis by Disengagement of the Hinge-post Extension

Biswas

Haughom

Mayle

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…There have been improvements in the design of prostheses in recent years, the most important of which are the introduction of metal wedge augmentation and modular fluted stems with a variable offset, which improve the alignment and allow press-fit fixation [7][8][9].…”

Section: Editorialmentioning

confidence: 99%

Augmentation in Primary Total Knee Arthroplasty, is it Essential?

Mohamed¹

2017

MOJOR

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“…Besides the implants used in primary total knee arthroplasties, there is also a wide range of components for semiconstricted implants available for revisions: stems of various sizes and diameters for the femur and tibia; various sizes of polyethylene; offset mechanisms to correct deformities between the center of the diaphysis and the center of the femoral or tibial joint; wedges of various sizes, shapes and angles, and made-to-measure modules for large tibial bone VALUE OF PREOPERATIVE RADIOGRAPHIC EVALUATIONS ON KNEE BONE DEFECTS FOR REVISION ARTHROPLASTY losses (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15) . And for cases of large bone and ligament loss, there are constricted implants (16)(17)(18) . The choice of implant to be used is not always simple, and depends largely on three factors: quantification of the bone loss, assessment of the ligament deficiency, and function of the extensor mechanism.…”

Section: Introductionmentioning

confidence: 99%

Valor da avaliação radiográfica pré-operatória dos defeitos ósseos no joelho nas revisões de artroplastia

Iamaguchi¹,

Helito²,

Gobbi³

et al. 2012

Rev. bras. ortop.

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Objective: To evaluate the value of preoperative radiographic evaluations for total knee arthroplasty (TKA) revision. Methods: Thirty-one knees that were operated between 2006 and 2008, in a consecutive series of cases of TKA revision surgery were analyzed retrospectively. The following criteria were evaluated: number of wedges or structured bone grafts used for filling the bone defects; locations of the wedges and bone grafts used; and mean thickness of the polyethylene used. The AORI classification was previously established based on preoperative radiographs, using preestablished criteria. After the analysis, the knees were divided into four groups (I, IIA, IIB and III). Results: The mean number of wedges or grafts used in each knee progressively increased among the groups (group I: 1.33; group IIA: 2; group IIB: 4.33; and group III: 4.83) (P = 0.0012). The commonest locations were medial in the tibia and posteromedial in the femur. There were no statistically significant differences in the thickness of the polyethylene used. Conclusion: The AORI classification for bone defects in the knee, based on preoperative radiographs, showed a correlation with increasing need to use wedges and/or structured grafts in TKA revisions. However, up to 46% of the knees in groups I and IIA presented bone defects of up to 5 mm that were not diagnosed by means of preoperative radiographs.

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The Role of the Rotating Hinge Prosthesis in the Salvage Arthroplasty Setting

Cited by 73 publications

References 13 publications

Case Report: Failure of Rotating-hinge Total Knee Prosthesis by Disengagement of the Hinge-post Extension

Case Report: Failure of Rotating-hinge Total Knee Prosthesis by Disengagement of the Hinge-post Extension

Augmentation in Primary Total Knee Arthroplasty, is it Essential?

Valor da avaliação radiográfica pré-operatória dos defeitos ósseos no joelho nas revisões de artroplastia

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