Three Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620737
Title:
Three Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations.
Authors:
Sandiford, N. A.; Phillips, Jonathan R. A.; Back, D. L.; Toms, Andrew
Abstract:
Catastrophic failure of stemmed components in arthroplasty is an uncommon but a serious complication. Stem fractures and techniques for addressing these have been described following hip arthroplasty but much less so following total knee arthroplasty (TKA). We review three cases of catastrophic failure of the stem in rotating hinge revision TKA prostheses. We discuss the possible mechanism of failure and review the current literature addressing this topic. Metaphyseal support needs to be optimized in order to minimize load transfer to the stem and to the junction (and the risk of fracture) if a modular component is used. When constrained components are used, radiographs need to be carefully assessed for signs of proximal loosening. Nonmodular stems are also an option in this situation.
Citation:
Three Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations. 2018, 10 (2):260-264 Clin Orthop Surg
Publisher:
Korean Orthopaedic Association
Journal:
Clinics in orthopedic surgery
Issue Date:
Jun-2018
URI:
http://hdl.handle.net/11287/620737
DOI:
10.4055/cios.2018.10.2.260
PubMed ID:
29854352
Additional Links:
https://www.ecios.org/DOIx.php?id=10.4055/cios.2018.10.2.260
Note:
This article is freely available under Open Access. Click on the Additional Link above to access the full-text via the publisher's site.
Type:
Journal Article
Language:
en
ISSN:
2005-4408
Appears in Collections:
Exeter Knee Reconstruction Unit (EKRU); 2018 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorSandiford, N. A.en
dc.contributor.authorPhillips, Jonathan R. A.en
dc.contributor.authorBack, D. L.en
dc.contributor.authorToms, Andrewen
dc.date.accessioned2018-07-04T13:42:57Z-
dc.date.available2018-07-04T13:42:57Z-
dc.date.issued2018-06-
dc.identifier.citationThree Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations. 2018, 10 (2):260-264 Clin Orthop Surgen
dc.identifier.issn2005-4408-
dc.identifier.pmid29854352-
dc.identifier.doi10.4055/cios.2018.10.2.260-
dc.identifier.urihttp://hdl.handle.net/11287/620737-
dc.description.abstractCatastrophic failure of stemmed components in arthroplasty is an uncommon but a serious complication. Stem fractures and techniques for addressing these have been described following hip arthroplasty but much less so following total knee arthroplasty (TKA). We review three cases of catastrophic failure of the stem in rotating hinge revision TKA prostheses. We discuss the possible mechanism of failure and review the current literature addressing this topic. Metaphyseal support needs to be optimized in order to minimize load transfer to the stem and to the junction (and the risk of fracture) if a modular component is used. When constrained components are used, radiographs need to be carefully assessed for signs of proximal loosening. Nonmodular stems are also an option in this situation.en
dc.language.isoenen
dc.publisherKorean Orthopaedic Associationen
dc.relation.urlhttps://www.ecios.org/DOIx.php?id=10.4055/cios.2018.10.2.260en
dc.rightsArchived with thanks to Clinics in orthopedic surgery. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.en
dc.subjectWessex Classification Subject Headings::Orthopaedicsen
dc.titleThree Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations.en
dc.typeJournal Articleen
dc.identifier.journalClinics in orthopedic surgeryen
dc.description.noteThis article is freely available under Open Access. Click on the Additional Link above to access the full-text via the publisher's site.en
dc.type.versionPublisheden

Related articles on PubMed

All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.