Possible indications for a rotating hinge or pure hinge implant in primary total knee arthroplasty (TKA) include collateral ligament insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release, relevant bone loss, ...

One type of knee replacement surgery, known as hinged knee replacement, is designed to address more complex knee issues. In this guide, we’ll delve into the basics of hinged knee replacement surgery, exploring what it involves, who it’s for, its benefits, and potential risks.

Hinged implants are the most constrained knee replacement prostheses. They are very useful in complex cases of total knee arthroplasty (TKA) revision. Hinged implants have evolved with rotating bearings and modularity that allows local joint reconstruction or …

Sep 21, 2024 · Response/Recommendation: The three most commonly reported indications for using hinged-design implants in revision total knee arthroplasty (rTKA) are infection, instability, and aseptic loosening.

Rotating-hinge total knee prostheses may be used for the treatment of global instability or severe bone loss around the knee. Hinged prostheses were first designed and used for knee reconstruction after the resection of neoplasms.

Nov 18, 2024 · This narrative review provides an overview of the indications and complications of rotating hinged total knee replacement (RHTKA) and aims to assist surgeons in decision-making regarding the use of these prostheses.

Rotating hinge knee prostheses (with or without distal femoral replacement) are indicated in cases of unreconstructible bony or soft tissue compromise. Despite their versatility, these implants have demonstrated high rates of mechanical failure.

This report explores the application of a new modular hinged device system in various scenarios, starting with (1) complex primary hinged knee arthroplasty, followed by revision hinged knee arthroplasty cases including (2) failed TKA with medial collateral ligament (MCL) dysfunction, (3) severe arthrofibrosis post-TKA, (4) revisions for ...

Apr 25, 2019 · Possible indications for a rotating hinge or pure hinge implant in primary total knee arthroplasty (TKA) include collateral ligament insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release, relevant bone loss, including insertions of collateral ligaments, gross f …

Rotating hinge knee prostheses are typically used in revision and severe primary total knee arthroplasty (TKA). For these challenging patient groups, currently only few studies with mid- or even long-term follow-up and adequate patient numbers are available.