31 Year Evolution of the Rotating-Platform Total Knee Replacment: Coping With “Spinout” and Wear

Author(s):  
Frederick F. Buechel ◽  
Frederick F. Buechel ◽  
Thomas E. Helbig ◽  
Michael J. Pappas
Keyword(s):  
The Knee ◽  
2011 ◽  
Vol 18 (6) ◽  
pp. 496-498 ◽  
Author(s):  
Hideo Kobayashi ◽  
Yasushi Akamatsu ◽  
Naoya Taki ◽  
Hirohiko Ota ◽  
Naoto Mitsugi ◽  
...  

2009 ◽  
Vol 17 (2) ◽  
pp. 174-178 ◽  
Author(s):  
Adrian J Bauze ◽  
Mark S Falworth ◽  
Roger D Oakeshott

Purpose. To present early results of 400 consecutive low contact stress (LCS) anteroposterior (AP) glide total knee arthroplasties (TKAs) performed by a single surgeon. Methods. 304 consecutive patients aged 30 to 96 (mean, 66) years underwent 400 TKAs using LCS AP glides performed by a single surgeon. Only patients with an intact posterior cruciate ligament, a fixed flexion deformity of <15°, and a valgus deformity of <15° were included. Patients were assessed pre- and post-operatively using the American Knee Society (AKS) and Hospital for Special Surgery (HSS) scores. Range of motion was measured using a goniometer. AP and lateral radiographs were assessed for radiolucencies and osteolysis. Results. The mean follow-up period was 4.2 (range, 1–8) years. The mean fixed flexion improved to 1° from 11° and the mean active flexion improved to 120° from 111°. Both AKS and HSS scores improved significantly. There were 28 anterior soft tissue impingements; 9 of them were in the first year of the study. Thereafter, the anterior lip of the bearing was modified and any offending osteophytes, soft tissue, or fat pads were excised. Of 39 (10%) knees that underwent re-operation (16 were due to anterior soft tissue impingement), 20 (5%) did not require change of the AP glide bearing and the remaining 19 were converted to a rotating platform bearing. No patellar baja was noted after fat pad excision. No patient had catastrophic wear or failure of the polyethylene bearing. The survival rate of the AP glide bearing was 95%. Conclusion. The early-to-mid-term outcomes of the LCS AP glide TKA are promising.


2010 ◽  
Vol 92 (7) ◽  
pp. 1635-1639 ◽  
Author(s):  
John J Callaghan ◽  
Christopher W Wells ◽  
Steve S Liu ◽  
Devon D Goetz ◽  
Richard C Johnston

2019 ◽  
Vol 26 (2) ◽  
pp. 99-104
Author(s):  
Michelle Kar Lam Li ◽  
Lawrence Chun Man Lau ◽  
Yuk Wah Hung ◽  
Ka Bon Kwok ◽  
Alexander Pak Hin Chan ◽  
...  

Rotating platform total knee replacement implants have been marketed to allow more precise approximation of normal knee kinematics and enhance patella tracking. At liberty of rotation, the distinct mobile polyethylene insert design does have its pitfalls in spite of purported merits. We report a case of lateral knee pain following rotating platform total knee replacement, attributable to iliotibial band impingement by the rotating polyethylene insert. Prompt treatment via arthroscopic release circumvented a traumatic and costly revision procedure.


2012 ◽  
Vol 94 (7) ◽  
pp. 638-644 ◽  
Author(s):  
Jean-Noel A Argenson ◽  
Sebastien Parratte ◽  
Abdullah Ashour ◽  
Bertrand Saintmard ◽  
Jean-Manuel Aubaniac

2020 ◽  
Vol 102 (19) ◽  
pp. 1694-1702
Author(s):  
Nicole Durig Quinlan ◽  
Yongren Wu ◽  
Alexander M. Chiaramonti ◽  
Sarah Guess ◽  
William R. Barfield ◽  
...  

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