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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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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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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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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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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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Maria A. Smolle Department of Orthopaedics and Trauma, Medical University of Graz, Austria

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Dimosthenis Andreou Department of General Orthopaedics and Tumour Orthopaedics, University Hospital Muenster, Germany

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Per-Ulf Tunn Tumour Orthopaedics, HELIOS Klinikum Berlin-Buch, Germany

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Andreas Leithner Department of Orthopaedics and Trauma, Medical University of Graz, Austria

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( n = 491), whilst 196 implants were rotating hinge. 18 Altogether, 27.0% of patients ( n = 185) developed complications, with no difference between the rotating hinge and fixed hinge systems. 18 However, all component breakages occurred in

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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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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

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
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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Piti Rattanaprichavej Department of Orthopaedics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand

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Patapong Towiwat Department of Internal Medicine, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand

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Artit Laoruengthana Department of Orthopaedics, Faculty of Medicine, Naresuan University, Phitsanulok, Thailand

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Piyameth Dilokthornsakul Center of Pharmaceutical Outcomes Research, Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand
Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand

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Nathorn Chaiyakunapruk Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, Utah, USA
School of Pharmacy, University of Wisconsin, Madison, Wisconsin, USA

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patients, average follow-up period, cause of Charcot joint (NS vs. non-NS), staging of disease, ataxia status, prosthesis type (primary or ordinary implant, varus-valgus constraint prosthesis (VVC) and rotating hinge prosthesis (RH)), complications

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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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