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Revision total knee arthroplasty using a constrained condylar knee prosthesis in conjunction with a posterior
Jin Kyu Lee1, Sung-Jae Kim, Choong H Choi
1Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
Abstract:
Legacy constrained condylar knee (LCCK) components are designed in the way that they can also be used in conjunction with a posterior-stabilized (PS) polyethylene insert, when adequate collateral stability is present. This study comprised 27 revision total knee arthroplasties (TKA) treated using an LCCK prosthesis and a PS polyethylene insert. Substantial range of motion and Knee Society score improvements were achieved in all subjects. Radiolucent lines between the block-cement were noted in 6 of 27 knees, but not significant. During TKA requiring the use of a femoral augment or stem extension, the design offering least constraint can be chosen, and an LCCK prosthesis with a PS polyethylene insert could be a satisfactory option.