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reason for the knee replacement, previous knee procedures, details of the surgical technique, the type of prosthesis used, and whether the patient experienced any trauma to the knee. During the follow-up of patients with RH-TKA, we must assess whether
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. Joshi and Navarro-Quilis 20 in their study of 78 cases analysed the outcomes of the Endo-Model® hinged rotational knee prosthesis (Link®) at a mean of five years’ follow-up (FU). They found a significant improvement in the functional outcomes. The
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. Lotke PA , Ecker ML . Influence of positioning of prosthesis in total knee replacement . J Bone Joint Surg [Am] 1977 ; 59-A : 77 – 79 . 8. Denham RA , Bishop RE . Mechanics of the knee and problems in
Department of Orthopaedic Surgery, University of Cape Town, SA
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arthrosis. 18 , 19 Early TKA pioneers soon revisited their designs when extensor mechanism dysfunction and anterior knee pain became evident. For example, in 1973 the total condylar prosthesis was redesigned to include a proximal flange that could
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: femoral implant design Cadaveric studies A cadaveric study of six knees looked at whether trochlear design would affect patellar tracking. 15 Comparison was made between a symmetrical femoral prosthesis (Kinemax, Stryker, Mahwah, NJ, USA) and a
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Arthroplasty 2017 ; 32 : 1310 – 1313 . 42. Bertin KC Lloyd WWS . Effect of total knee prosthesis design on patellar tracking and need for lateral retinacular release . J Arthroplasty 2013 ; 28 : 772 – 777 . 43
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Institute of Microengineering, Ecole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland
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cause of disability by 2020 and affecting a third of the population by 2030. 2 , 3 The knee is the most frequently affected load-bearing joint, with disease developing more often in the medial than in any other knee compartment. An important element
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documented in case reports. 28 , 29 Plating should be considered as an option in fractures in close proximity to the components of the prosthesis when stability had previously been unsatisfactory. When the latter is the case, revision total knee
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Exponent, Philadelphia, Pennsylvania, USA
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variable was the type of prosthesis used. 80 Comparing the outcome of non-resurfaced patients between both studies demonstrated a significant decrease in both anterior knee pain and reoperation rate. 81 , 83 O’Brien et al conducted a study of 600
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Biomechatronics Group, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA
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scores (7.0–8.4%, p </= 0.05) compared with the C-Leg. 1.277 Jayaraman et al 85 2018 Impact of powered knee-ankle prosthesis on low back muscle mechanics in transfemoral amputees: a case series Level IV. Impact of using a powered knee