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Related Experiment Videos

Rotating hinged total knee replacement: use with caution.

Aidin Eslam Pour1, Javad Parvizi, Nicholas Slenker

  • 1Rothman Institute, 925 Chestnut Street, Philadelphia, PA 19107, USA.

The Journal of Bone and Joint Surgery. American Volume
|August 3, 2007
PubMed
Summary
This summary is machine-generated.

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Modern rotating hinged knee prostheses offer functional improvement but have significant complication rates. These salvage procedures are best suited for elderly, sedentary patients needing knee reconstruction.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Rotating hinged total knee prostheses are used for severe knee instability or bone loss.
  • Older designs had suboptimal outcomes, necessitating evaluation of modern prostheses.

Purpose of the Study:

  • To evaluate the outcomes of salvage knee reconstructions using modern-generation modular segmental kinematic rotating hinged total knee prostheses.

Main Methods:

  • Forty-four knee arthroplasties were performed on 43 patients for non-neoplastic conditions.
  • Revision of prior total knee arthroplasty with massive bone loss was the primary indication.
  • Clinical and radiographic data were collected at a mean follow-up of 4.2 years.

Main Results:

  • Prosthetic reconstruction significantly improved function and reduced pain.

Related Experiment Videos

  • Complications included periprosthetic infection, aseptic loosening, and fracture, with a mean time to failure of 1.7 years.
  • Prosthetic survival rates were 79.6% at one year and 68.2% at five years.
  • Conclusions:

    • Modular kinematic rotating hinged total knee prostheses are valuable for knee salvage reconstruction.
    • Due to a high complication rate, these procedures should be reserved for elderly and sedentary patients.