Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1987-5-28
pubmed:abstractText
The first fifty kinematic rotating-hinge total knee arthroplasties that were done at the Mayo Clinic were reviewed. The indication for use of this prosthesis was either ligamentous instability or loss of bone, or both. At a mean length of follow-up of fifty months (range, twenty-nine to seventy-nine months), the clinical results of thirty-eight knees in thirty-six patients were evaluated. Fifteen of the thirty-eight knees had had a primary arthroplasty and twenty-three had had a revision arthroplasty using the kinematic rotating-hinge prosthesis. Using the knee-rating score of The Hospital for Special Surgery, there were fourteen excellent, twelve good, five fair, and five poor results. For two knees there was inadequate information to calculate a knee-rating score. Lucent lines that were more than one millimeter in width were seen with 25 per cent of the femoral and 50 per cent of the tibial components. Progression of lucent lines was observed in thirteen knees, and five knees showed probable radiographic loosening. The high incidence of complications was distressing, with a 16 per cent rate of sepsis, a 22 per cent rate of patellar instability, and a 6 per cent rate of breakage of the implant. In our opinion, this implant should be used only in knees in which there is functional absence of a collateral ligament that cannot be managed by soft-tissue reconstruction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0021-9355
pubmed:author
pubmed:issnType
Print
pubmed:volume
69
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
489-97
pubmed:dateRevised
2010-10-25
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
Kinematic rotating-hinge total knee arthroplasty.
pubmed:publicationType
Journal Article, Case Reports