scholarly journals Rotating-hinge knee prosthesis as a viable option in primary surgery: Literature review & meta-analysis

2019 ◽  
Vol 105 (7) ◽  
pp. 1351-1359 ◽  
Author(s):  
Ali Abdulkarim ◽  
Anna Keane ◽  
Shu Yang Hu ◽  
Lachlan Glen ◽  
Dermot J. Murphy
PLoS ONE ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. e0216004
Author(s):  
Jung-Ro Yoon ◽  
Ji-Young Cheong ◽  
Jung-Taek Im ◽  
Phil-Sun Park ◽  
Jae-Ok Park ◽  
...  

2012 ◽  
Vol 4 (4) ◽  
pp. 35 ◽  
Author(s):  
Turgay Efe ◽  
Philip P. Roessler ◽  
Thomas J. Heyse ◽  
Carsten Hauk ◽  
Caroline Pahrmann ◽  
...  

The aim of the study was to evaluate the mid-term clinical results and survivorship of a rotating-hinge knee prosthesis (LINK® Endo-Model) in difficult primary and complex revision situations. Results after primary implantation were compared with those of revision procedures. Forty-nine prostheses in 45 patients were reviewed clinically during follow up. Twenty-one of these were implanted in primary and 28 in revision situations. Outcome was evaluated using commonly used scores (Knee Society, UCLA Activity, Lequesne) and a visual analog scale after a mean follow up of 56±37 months for 49 prostheses. Implant survival was analyzed using the Kaplan-Meier method. There were no significant differences in clinical examination and evaluation scores between the two groups (P>0.05). Survival rates at final follow up were 95% after primary implantation and 76% in revision procedures. The risk of prosthesis loss (odds ratio 5.7) was significantly higher after revision procedures (P=0.004). These data suggest that rotating-hinge knee prostheses provided good clinical and functional results in selected cases of advanced primary gonarthrosis associated with severe bone loss, ligamentous instability or comminuted fractures. They also provide good results in revision situations. However, the failure rate was significantly higher in cases of revision surgery.


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Givenchy Manzano ◽  
Ran Schwarzkopf

The rotating hinge knee prosthesis is a popular intervention in patients lacking stability with highly constrained total knee arthroplasty. Despite improvements in design, nonmechanical and mechanical complications continue to be a problem. Dislocation of the hinge has been widely described, mainly due to the component fracture. Few reports describe isolated dislocation of the rotating stem. We report a case of isolated disengagement of the rotating hinge mechanism, due to severe flexion gap imbalance, leading to subsequent posterior dislocation of the hinge and anterior knee dislocation, in a patient with a history of multiple total knee arthroplasty revisions. This case suggests the importance of the soft tissue balancing, the adequate patellar tracking, and use of a long cylindrical, minimally tapered rotating stem in hinge arthroplasty to minimize hinge dislocation.


1988 ◽  
Vol &NA; (228) ◽  
pp. 156???163 ◽  
Author(s):  
MARCUS A. KESTER ◽  
STEPHEN D. COOK ◽  
AMANDA F. HARDING ◽  
RAOUL P. RODRIGUEZ ◽  
CHARLES S. PIPKIN

1997 ◽  
Vol 336 ◽  
pp. 166-176 ◽  
Author(s):  
J. Michael Kabo ◽  
Rong-Sen Yang ◽  
Frederick J. Dorey ◽  
Jeffrey J. Eckardt

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0214279 ◽  
Author(s):  
Jung-Ro Yoon ◽  
Ji-Young Cheong ◽  
Jung-Taek Im ◽  
Phil-Sun Park ◽  
Jae-Ok Park ◽  
...  

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