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Gilles Pasquier Service de Chirurgie Orthopedique, Centre-Hospitalo-Universitaire de Lille, France

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Matthieu Ehlinger Service de Chirurgie Orthopedique et de Traumatologie, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, France

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Didier Mainard Service de Chirurgie Orthopédique, Cente Hospitalo-Universitaire de Nancy, Centre Hospitalo-Universitaire de Nancy, France

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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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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain

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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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Carlos A. Encinas-Ullán Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Primitivo Gómez-Cardero Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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Juan S. Ruiz-Pérez Department of Orthopaedic Surgery, La Paz University Hospital-IdiPaz, Madrid, Spain

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E. Carlos Rodríguez-Merchán 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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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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Paolo Salari Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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Andrea Baldini Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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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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Haroon Majeed Manchester University Foundation NHS Trust, Manchester, United Kingdom

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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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Geke A. W. Denissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Liza N. van Steenbergen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Wouter T. Lollinga Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Nico J. J. Verdonschot Dept. of Biomechanics, Radboud University Medical Center, Nijmegen, The Netherlands
Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands

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Berend W. Schreurs Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands

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Rob G. H. H. Nelissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
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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Anoop Prasad Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Richard Donovan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Manoj Ramachandran Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sebastian Dawson-Bowling Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Steven Millington Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Rej Bhumbra Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Pramod Achan Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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Sammy A. Hanna Trauma and Orthopaedic Surgery Department, Royal London Hospital, UK

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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

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Nicolás Franulic Hospital del Trabajador ACHS, Santiago, Chile
Hospital Militar de Santiago, Santiago, Chile

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José Tomas Muñoz Universidad de los Andes, Santiago, Chile

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Francisco Figueroa Hospital Sótero del Río, Santiago, Chile
Clínica Alemana - Universidad del Desarrollo, Santiago, Chile

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Piero Innocenti Hospital del Trabajador ACHS, Santiago, Chile

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Nicolás Gaggero Hospital del Trabajador ACHS, 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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Massimo Ceruso Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Sandra Pfanner Hand Surgery Unit, Centro Traumatologico Ortopedico, Azienda Ospedliero-Universitaria Careggi, Florence, Italy

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Christian Carulli Orthopaedic Clinic, University of Florence, Florence, Italy

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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

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Søren Overgaard Department of Orthopaedic Surgery and Traumatology, Copenhagen University Hospital, Copenhagen, Denmark
Department of Clinical Medicine, Faculty of Health & Medical Sciences, University of Copenhagen, Copenhagen, Denmark

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Thomas M Grupp Aesculap AG Research & Development & Medical Scientific Affairs, Tuttlingen, Germany
Department of Orthopaedic and Trauma Surgery, Ludwig Maximilians University Munich, Musculoskeletal University Center Munich (MUM), Campus Grosshadern, Munich, Germany

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Rob GHH Nelissen Department of Orthopaedics, Leiden University Medical Center, Leiden, the Netherlands
Technical University Delft, Delft, the Netherlands

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Luca Cristofolini Department of Industrial Engineering, School of Engineering and Architecture, Alma Mater Studiorum - Università di Bologna, Bologna, Italy

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Anne Lübbeke Division of Surgery and Traumatology, Geneva University Hospitals and University of Geneva, Switzerland
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK

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Marcus Jäger Department of Orthopaedics, Trauma & Reconstructive Surgery St. Marien Hospital Mülheim an der Ruhr & Chair of Orthopaedics and Trauma Surgery University of Duisburg–Essen, Essen, Germany

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Matthias Fink TÜV Süd Product Service GmbH, Clinical Centre of Excellence, Munich Germany

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Sabine Rusch Aesculap AG Research & Development & Medical Scientific Affairs, Tuttlingen, Germany

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Hassan Achakri Zimmer Biomet, Clinical, Regulatory & Quality Affairs, Winterthur, Switzerland

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Francesco Benazzo IUSS Pavia, Fondazione Poliambulanza Istituto Ospedaliero, Brescia, Italy

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Dario Bergadano Medacta International SA, Medical Affairs, Castel San Pietro, Switzerland

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Georg N Duda Julius Wolff Institute and Center for Muskuloskeletal Surgery, Berlin Institute of Health at Charité Universitätsmedizin Berlin, Germany

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Christian Kaddick EndoLab Mechanical Engineering GmbH, Riedering, Germany

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Volkmar Jansson Department of Orthopaedic and Trauma Surgery, Ludwig Maximilians University Munich, Musculoskeletal University Center Munich (MUM), Campus Grosshadern, Munich, Germany

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Klaus-Peter Günther University Clinic Carl Gustav Carus, Center for Orthopaedic & Trauma Surgery, Technical University Dresden, Dresden, Germany

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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

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