Department of Orthopaedic Surgery, University of Cape Town, SA
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patellar button that articulated with a PE track in the trochlea with the polycentric knee system and described promising results in 1976, but cautioned about potential complications of additional prosthetic components. 74 Groeneveld described the use
Instituto Clinico Citta Studi, Milan, Italy
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King Edward VII Hospital, London, UK
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the knee flexes. The third space may be balanced in a similar way to the first and second spaces by ensuring that resected bone is accurately replaced by prosthetic material. However, the dynamic and changing nature of the patellofemoral joint means
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expected. 2 Differing causations hase been reported for TJA failure and revision. 3 , 4 According to recent data, peri-prosthetic joint infection (PJI) incidence constitutes between approximately 0.3% and 1.7% of all total hip arthroplasties (THA
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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. , predicting the size of prosthetic components for each patient before implanting TKA is crucial for avoiding the excessive costs associated with additional surgical trays and the morbidity associated with imperfect sizing ( 10 ). Kunze et al. demonstrated
Personalized Arthroplasty Society, Atlanta, Georgia, USA
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Nuffield Orthopaedic Centre, Headington, Oxford, UK
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Personalized Arthroplasty Society, Atlanta, Georgia, USA
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South-West London Elective Orthopaedic Centre, Epsom, UK
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Shamir Medical Center, Zriffin, Israel
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Département de Chirurgie, Université de Montréal, Hôpital Maisonneuve-Rosemont, Montréal, Québec, Canada
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’ extreme anatomy with KA (unrestricted) could carry the risk of generating potentially suboptimal prosthetic kinetics 6 with subsequent complications (accelerated polyethylene wear and/or implant loosening). On the other hand, such fear remains without
Università degli Studi di Pavia, Pavia, Lombardy, Italy
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the sides involved. In other words, each prosthetic design has only one type of femoral flange (‘more or less patella friendly’) where very different types of patella should adapt. Resurfacing the patella allows to play with the position of the
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issues related to surgical exposure, bone loss management and implant selection. 2 In the current article, authors provide a practical guide to approach revision knee surgery. Preoperative evaluation Understanding the cause of the prosthetic
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Introduction Prosthetic joint infection (PJI) remains one of the most serious complications of knee prosthesis implantation. Its incidence is reported as between 0.5% and 2.0% according to the risk factors. 1 – 4 It is the commonest
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Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.
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Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach, axis, bone loss, choice of implant and level of constraint are indispensable.
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There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.
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Use of an algorithms can support the surgeon’s choice of implant.
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Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty.
Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement in chronic post-traumatic cases. EFORT Open Rev 2016:1:211-218. DOI: 10.1302/2058-5241.1.000025.
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generates particulate debris that can lead to peri-prosthetic osteolysis. The use of modular components also contributes to this process of osteolysis via ‘backside’ wear. Accelerated polyethylene wear and extensive osteolysis can result in aseptic loosening