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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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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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-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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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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( 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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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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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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Department of Pharmacy Practice, Faculty of Pharmaceutical Sciences, Naresuan University, Phitsanulok, Thailand
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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
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