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Rotating knee prosthesis. Surface or hinge replacement?

M Crova1, E Cenna, C Olivero

  • 1II Orthopaedic Clinic, University of Turin.

Der Orthopade
|August 10, 2000
PubMed
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This study evaluated the Endomodel rotating prosthesis for total knee replacement (TKR). Initial results were good to excellent, with a low incidence of dislocations and infections in 142 implanted devices.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Prior to 1992, experience with total knee replacement (TKR) utilized AGC 2000, Tricon M, and MG implants.
  • The study transitioned to rotating knee prostheses in 1992, with several options available in Italy.

Purpose of the Study:

  • To evaluate the clinical outcomes of the Endomodel rotating prosthesis for total knee replacement.
  • To assess the incidence of complications such as dislocations and infections associated with this implant.

Main Methods:

  • The Endomodel rotating prosthesis was selected for implantation starting in 1992.
  • A total of 142 Endomodel prostheses were implanted between 1992 and 1995, including 128 primary replacements and 14 revisions.
  • Outcomes were assessed, and complications were recorded.

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Main Results:

  • Overall results were reported as good or excellent in the majority of cases.
  • Six dislocations of the device were observed.
  • Four infections were recorded, with one originating from the service and three from other hospitals.

Conclusions:

  • The Endomodel rotating prosthesis demonstrated favorable outcomes in total knee replacement procedures.
  • While generally successful, complications like dislocations and infections warrant consideration in patient selection and surgical technique.