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, stiffness and extensor mechanism complications. 4 TKA revision often requires the use of more constrained implants. In the literature, hinged implants characterize the tibiofemoral junction. They are the most constrained types of implants. They are used
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Noiles rotating hinge knee prosthesis 46 The Finn rotating hinge 47 Indications for hinged implants in primary total knee arthroplasty In 2014, Gerhke et al analysed the role of hinges in primary total knee arthroplasty (TKA
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is of variable design. Table 1 Dislocations after rotating-hinge total knee arthroplasty (RH-TKA) published in the literature (‘megaprostheses’ excluded) Authors Year Revision implant design (case no.) Time to dislocation
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correction cannot be managed by just stuffing the joint, but would require the adjunction of an anti-recurvatum mechanism of hinged implants. 27 It is important to notice that positive varus-valgus stress in full extension is indicative of postero
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years) and high failure rates (57%) of these implants, 17 Swanson designed, in 1974, a double-stemmed hinge made of silicone elastomer (second-generation) to offer a constrained design. 18 Sutter also created two different designs for double
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Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands
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Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands
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Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands
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Introduction The Dutch Arthroplasty Register (LROI) was initiated by the Netherlands Orthopaedic Association (NOV) in 2007 in order to evaluate outcome of arthroplasty procedures. For that purpose, patient, surgical procedure and implant
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-term outcome when a conventional TKR implant is used. 10 Tigani et al describe that previous criticism of more constrained implants is no longer justified as modern rotating hinge designs more closely mimic physiological kinematics, therefore reducing
Hospital Militar de Santiago, Santiago, Chile
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Clínica Alemana - Universidad del Desarrollo, Santiago, Chile
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after MOWHTO are as high as 41.2%, with 24.7% of them being major complications (defined as complications that require additional or extended treatment) ( 7 ). Common major complications of MOWHTO are implant failure (8.2%), intraoperative lateral hinge
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Introduction Until the late 1980s, finger joint prosthetic reconstruction had been almost exclusively performed by using monobloc silicone spacers as developed by Swanson et al more than 20 years previously. 1 Such implants are not fixed
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