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Atraumatic dislocation of a modern rotating hinge total-knee prosthesis. A rare but devastating complication
Konstantinos G Makiev1, Ioannis S Vasios1, Anthimos Keskinis1
1Orthopaedics, Unit for Surgical Reconstruction of Major Joints, University General Hospital of Alexandroupolis, Alexandroupolis, Greece.
Medical Engineering & Physics
|June 18, 2023
Summary
Rotating hinge knee (RHK) implants are crucial for revision total knee arthroplasty (TKA) but can fail. This case highlights a rare mechanical dislocation of a modern RHK, emphasizing the need to address intrinsic and extrinsic factors for successful outcomes.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
- Implant design
Background:
- Total knee arthroplasty (TKA) revision rates are increasing globally.
- Rotating hinge knee (RHK) implants are increasingly used for complex revisions due to bone defects and soft tissue imbalance.
- Despite design advancements, RHK implants face high complication rates, including infection, fractures, and extensor mechanism issues.
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