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recurvatum (in cases where the posterior capsular elements fail). Despite this, rotating-hinged implants are subjected to higher pressures than unconstrained gliding implants. Fig. 2 Rotatory hinge prostheses with a femoral hinge and a rotatory tibial
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-Modell rotating hinge implants demonstrated no significant risk of aseptic loosening and the hinge was not a primary cause of failure. However, the overall failure rate was higher than that of unhinged implants; therefore, this prosthesis was recommended for cases
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. Orthop Traumatol Surg Res 2014 ; 100 : 835 – 837 . 12. Farid YR Thakral R Finn HA . Intermediate-term results of 142 single-design, rotating-hinge implants: frequent complications may not preclude salvage of severely
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Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE
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immediate full weight-bearing. Any fracture involving the collateral ligament insertions should be very carefully evaluated as reconstruction might require the use of a rotating-hinge implant ( Figs 5 and 6 ). In cases with severe metaphyseal destruction
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loosening caused by excessive stress at the fixation interface. Moreover, several rotating-hinge implants have a bulky rotating hinge mechanism that, associated with a long-stem for a strong fixation, cannot be implanted in small diameter tibial diaphysis as
Department of Clinical Medicine, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark
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Department of Orthopaedic and Trauma Surgery, Ludwig Maximilians University Munich, Musculoskeletal University Center Munich (MUM), Campus Grosshadern, Munich, Germany
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Technical University Delft, Delft, the Netherlands
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Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK
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partial uni-condylar, in primary total knee arthroplasty or in knee arthroplasty using a rotating hinge implant or even a distal femur replacement, have to be different. In addition, the complaint history of the reference implant has to be considered. An
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
Clinique Orthopédique Duval, Laval, Quebec, Canada
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muscular atrophy and knee angular deformities (varus or valgus) found in PWH, achieving prosthetic stability with standard TKA implants can be challenging. For these reasons a semi-constraint implant and rotating-hinge implant should be available as a
Faculty of Medicine, Universidad Francisco de Vitoria, Madrid, Spain
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Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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). Regarding the type of prosthesis, previously known ligamentous instability might be encountered or detected during surgery, which will require more constrained designs such as a constrained condylar knee implant and a rotating hinge implant ( 114 ). Figures
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Kloss N Jacob B Kirschberg J Matziolis G . Good clinical and radiological results of total knee arthroplasty using varus valgus constrained or rotating hinge implants in ligamentous laxity . Knee Surgery, Sports Traumatology, Arthroscopy 2019
