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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 3/2012

01.03.2012 | Knee

Primary total knee arthroplasty using rotating-hinge prosthesis in severely affected knees

verfasst von: Jae-Hyuk Yang, Jung-Ro Yoon, Chi-Hun Oh, Taik-Sun Kim

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 3/2012

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Abstract

Purpose

A rotating-hinge total knee prosthesis may be utilized for the treatment of global instability or severe bone loss around the knee. The outcome of primary total knee arthroplasty (TKA) using Endo-Modell (Link®) rotating-hinge prosthesis was evaluated.

Methods

Retrospectively, review of 50 cases (40 patients) at a mean follow-up of 15 years (range, 10–18) who underwent primary TKA using Endo-Modell (Link®) was performed. Indications included severe primary osteoarthritis with substantial ligament laxity, severe rheumatic arthritis with extreme ligament instability and bone loss, supracondylar nonunion, charcot arthropathy, and posttraumatic arthritis. Knee Society Score (KSS) and radiographic analysis were done for preoperative and at latest follow-up. Statistical analysis was done using the Student’s t test with the level of significance of p < 0.05.

Results

Overall, the rotating-hinge arthroplasty resulted in improved knee functioning. The KSS improved (p < 0.001) from a preoperative mean of 38 ± 14.3 (SD) points to a postoperative mean of 73 ± 12.8 points; the functional score improved (n.s.) from 36 ± 19.5 points to 47 ± 23.5 points. Mean range of motion at the most recent clinical follow-up evaluation was 102 ± 9°. However, all (100%) patients needed some form of assisted devices for walking and a relatively large number of deep infections (14%) were encountered.

Conclusions

Reconstruction with a rotating-hinge total knee prosthesis provided substantial improvement in function and reduction in pain. However, the possibility of assisted walking and high rate of deep infection should be encountered.

Level of evidence

Retrospective therapeutic study, Level IV.
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Metadaten
Titel
Primary total knee arthroplasty using rotating-hinge prosthesis in severely affected knees
verfasst von
Jae-Hyuk Yang
Jung-Ro Yoon
Chi-Hun Oh
Taik-Sun Kim
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 3/2012
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1590-1

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