scholarly journals A case of an atraumatic implant failure after primary rotating-hinge total knee arthroplasty

2021 ◽  
Vol 87 (3) ◽  
pp. 449-451
Author(s):  
Lucas Petitqueux ◽  
Karen Verhulst ◽  
Jan Dauwe ◽  
Dirk Dauwe
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Medical Literature ◽  
Femoral Stem ◽  
Revision Total Knee Arthroplasty ◽  
Knee Prostheses ◽  
Rotating Hinge ◽  
Total Knee ◽  
Rotating Hinge Knee ◽  
Implant Breakage

Rotating-hinge knee implants are fully constrained knee prostheses commonly used for revision total knee arthroplasty. Nevertheless, rotating-hinge devices have been increasingly utilized in primary setting. Complications are inevitable in orthopedic surgery, however, implant breakage after RHK arthroplasty has been rarely described in medical literature. We present a rare case of 70-year-old Caucasian, male patient who suffered an atraumatic femoral stem breakage in a primary NexGen ® Rotating Hinge Knee (Zimmer-Biomet ® , Warsaw, IN, USA).

scholarly journals Correction: Rotating hinge knee versus constrained condylar knee in revision total knee arthroplasty: A meta-analysis

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 ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Revision Total Knee Arthroplasty ◽  
Rotating Hinge ◽  
Total Knee ◽  
Rotating Hinge Knee

scholarly journals Rotating hinge knee versus constrained condylar knee in revision total knee arthroplasty: A meta-analysis

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 ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Meta Analysis ◽  
Revision Total Knee Arthroplasty ◽  
Rotating Hinge ◽  
Total Knee ◽  
Rotating Hinge Knee

Long-term results of revision total knee arthroplasty using a rotating hinge implant

The Knee ◽  
2021 ◽  
Vol 28 ◽  
pp. 72-80
Author(s):  
Warran Wignadasan ◽  
Justin S. Chang ◽  
Babar Kayani ◽  
Christina Kontoghiorghe ◽  
Fares S. Haddad
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Long Term Results ◽  
Rotating Hinge ◽  
Total Knee

scholarly journals The role of rotating hinge implants in revision total knee arthroplasty

2019 ◽  
Vol 4 (6) ◽  
pp. 269-278 ◽  
Author(s):  
Gilles Pasquier ◽  
Matthieu Ehlinger ◽  
Didier Mainard
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Complication Rates ◽  
Poor General Health ◽  
Joint Reconstruction ◽  
Bone Fixation ◽  
Rotating Hinge ◽  
Total Knee ◽  
Segmental Bone

Hinged implants are the most constrained knee replacement prostheses. They are very useful in complex cases of total knee arthroplasty (TKA) revision. Hinged implants have evolved with rotating bearings and modularity that allows local joint reconstruction or segmental bone replacement. They are required when significant instability persists in cases with inadequate collateral ligaments and significant flexion laxity. They are now used when a large bone defect is reconstructed, or when bone fixation of the implant is questionable especially in the metaphyseal zone. The use of hinged implants in TKA revision is associated with high complication rates. Published outcomes differ based on the patients’ aetiology. The outcomes of rotating-hinged implants used in septic revisions or salvage situations are poorer than other types of revision and have a higher complication rate. The poor general health of these patients is often a limitation. Despite these relatively poor results, hinged implants continue to have a place in revision surgery to solve major instability or to obtain stable bone fixation of an implant when the metaphysis is filled with bone grafts or porous devices.Cite this article: EFORT Open Rev 2019;4 DOI: 10.1302/2058-5241.4.180070

Rotating-Hinge Revision Total Knee Arthroplasty for Treatment of Severe Arthrofibrosis

2019 ◽  
Vol 34 (7) ◽  
pp. S271-S276 ◽  
Author(s):  
Joshua S. Bingham ◽  
Brandon R. Bukowski ◽  
Cody C. Wyles ◽  
Ayoosh Pareek ◽  
Daniel J. Berry ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Rotating Hinge ◽  
Total Knee

scholarly journals Serum Metal Ion Concentrations in Paediatric Patients following Total Knee Arthroplasty Using Megaprostheses

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Jörg Friesenbichler ◽  
Patrick Sadoghi ◽  
Werner Maurer-Ertl ◽  
Joanna Szkandera ◽  
Mathias Glehr ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Metal Ion ◽  
Reference Laboratory ◽  
Knee Prostheses ◽  
Cobalt Chromium ◽  
Metal Debris ◽  
Paediatric Patients ◽  
Rotating Hinge ◽  
Total Knee

The purpose of this study was to determine the concentrations of cobalt, chromium, and molybdenum in the serum of paediatric tumour patients after fixed hinge total knee arthroplasty. Further, these metal ion levels were compared with serum metal ion levels of patients with other orthopaedic devices such as hip and knee prostheses with metal-on-metal or metal-on-polyethylene articulation to find differences between anatomical locations, abrasion characteristics, and bearing surfaces. After an average follow-up of 108 months (range: 67 to 163) of 11 paediatric patients with fixed hinge total knee arthroplasty, the mean concentrations for Co and Cr were significantly increased while Mo was within the limits compared to the upper values from the reference laboratory. Furthermore, these serum concentrations were significantly higher compared to patients with a standard rotating hinge device (P=0.002andP<0.001) and preoperative controls(P<0.001). On the other hand, the serum levels of patients following MoM THA or rotating hinge arthroplasty using megaprostheses were higher. Therefore, periodic long-term follow-ups are recommended due to the rising concerns about systemic metal ion exposure in the literature. Upon the occurrence of adverse reactions to metal debris the revision of the fixed hinge implant should be considered.

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