scholarly journals Three Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations

2018 ◽  
Vol 10 (2) ◽  
pp. 260 ◽  
Author(s):  
Nemandra A Sandiford ◽  
Jonathan RA Phillips ◽  
Diane L Back ◽  
Andrew D Toms
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Femoral Stem ◽  
Revision Total Knee Arthroplasty ◽  
Rotating Hinge ◽  
Total Knee ◽  
Stem Failure

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).

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 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 Endo-Modell Rotating-hinge Total Knee for Revision Total Knee Arthroplasty

Orthopedics ◽  
2013 ◽  
Vol 36 (10) ◽  
pp. e1299-e1306 ◽  
Author(s):  
Alessandro Bistolfi ◽  
Federica Rosso ◽  
Maurizio Crova ◽  
Giuseppe Massazza
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Revision Total Knee Arthroplasty ◽  
Rotating Hinge ◽  
Total Knee

scholarly journals Condylar constrained knee prosthesis and rotating hinge prosthesis for revision total knee arthroplasty for mechanical failure have not the same indications and same results

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 45
Author(s):  
William Barnoud ◽  
Axel Schmidt ◽  
John Swan ◽  
Elliot Sappey-Marinier ◽  
Cécile Batailler ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Revision Rate ◽  
Knee Prosthesis ◽  
Revision Total Knee Arthroplasty ◽  
Mechanical Failure ◽  
Complication Rates ◽  
Rotating Hinge ◽  
Total Knee

Purpose: This study aimed to evaluate whether there are any differences in outcomes and complication rates between condylar constrained knee (CCK) and rotating hinge knee (RHK) prostheses used for the first revision of total knee arthroplasty (rTKA) after mechanical failure. Methods: Sixty-three consecutive non-septic revisions of posterior stabilized implants using 33 CCK and 30 RHK prostheses were included. Clinical evaluation and revision rate were compared between the two groups at two years minimum follow-up. Results: The CCK group had significantly better clinical outcomes and satisfaction rates compared to patients with RHK (KSS-knee 70.5 versus 60.7 (p < 0.003) and KSS-function 74.9 versus 47.7 (p < 0.004) at 3.7 (2.0–9.4) years mean follow-up. Moreover, the clinical improvement was significantly higher for the CCK group concerning the KSS-Knee (+23.9 vs. +15.2 points, p = 0.03). The postoperative flexion was significantly better in the CCK group compared to the RHK group (115° vs. 103°, p = 0.01). The prosthesis-related complications and the re-revision rate were higher in the RHK group, especially due to patellofemoral complications and mechanical failures. Conclusions: CCK prostheses provided better clinical and functional outcomes and fewer complications than RHK prostheses when used for the first non-septic rTKA. CCK is a safe and effective implant for selected patients, while RHK should be used with caution as a salvage device for complex knee conditions, with particular attention to the balance of the extensor mechanism.

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