Recurrent dissociation of the tibial insert after mini-subvastus posterior-stabilized total knee arthroplasty: A case report

The Knee ◽  
2011 ◽  
Vol 18 (6) ◽  
pp. 461-463 ◽  
Author(s):  
Yong In ◽  
Yoo-Joon Sur ◽  
Ho-Yeon Won ◽  
Young-Seok Moon
The Knee ◽  
2011 ◽  
Vol 18 (6) ◽  
pp. 496-498 ◽  
Author(s):  
Hideo Kobayashi ◽  
Yasushi Akamatsu ◽  
Naoya Taki ◽  
Hirohiko Ota ◽  
Naoto Mitsugi ◽  
...  

1992 ◽  
Vol 41 (2) ◽  
pp. 796-798
Author(s):  
Yasuaki Suruga ◽  
Hiroshi Maeda ◽  
Yoshihito Yukita ◽  
Osamu Shigemori

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Kazuhiko Udagawa ◽  
Yasuo Niki ◽  
Kengo Harato ◽  
Shu Kobayashi ◽  
So Nomoto

Retrograde intramedullary nailing (RIMN) has been used for periprosthetic fracture of the distal femur after total knee arthroplasty (TKA), yielding good fracture union rates and satisfactory outcomes. However, RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert, and the surgeon therefore usually requires knee joint arthrotomy. We report a case of a 79-year-old male who was involved in bicycle accident resulting in periprosthetic fracture of the distal femur after PS-TKA. We performed osteosynthesis with arthroscopically assisted RIMN to define an appropriate entry point. RIMN for posterior-stabilized- (PS-) TKA risks malpositioning the entry point and disturbing the post of the tibial insert. Because arthroscopy can directly visualize the entry point and the tibial post without arthrotomy, arthroscopically assisted RIMN offers a useful technical option for periprosthetic fracture of the distal femur after PS-TKA.


Author(s):  
Mehul A. Dharia ◽  
Marc Muenchinger ◽  
Eik Siggelkow ◽  
Jeff E. Bischoff

Posterior stabilization in PCL (Posterior Cruciate Ligament) sacrificing Total Knee Arthroplasty (TKA) can be achieved by two commonly used design concepts. Anteriorposterior (AP) stability can be provided either by the ultracongruent (UC) shape of the tibial articulation or by a posterior cruciate substitution with a central spine on the tibial insert which articulates with a transverse cam on the femoral component [1]. Clinical studies have indicated that the use of UC tibial insert design does not significantly compromise the TKA outcomes when compared with the use of posterior cruciate substituting design [2].


2020 ◽  
Vol 10 (01) ◽  
pp. 1-5
Author(s):  
T. Vivacqua ◽  
I. M. da Palma ◽  
R. P. Albuquerque ◽  
V. Favilla ◽  
J. Rezende ◽  
...  

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