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Journal of Long-Term Effects of Medical Implants

年間 4 号発行

ISSN 印刷: 1050-6934

ISSN オンライン: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Specific Complications of the Mobile-Bearing Total Knee Prosthesis

巻 19, 発行 1, 2009, pp. 1-11
DOI: 10.1615/JLongTermEffMedImplants.v19.i1.10
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要約

Total knee arthroplasty (TKA) is considered as a standard procedure for the treatment of the severe degenerative knee joint. The outcomes of TKA have improved over the last few decades because of a better understanding of design features and surgical techniques. Contemporary tibial component designs in TKA can be subdivided into two groups (fixed or mobile-bearing) on the basis of different fundamental principles. The mobile-bearing knee is designed with better biomechanical concepts than the fixed-bearing knee, in terms of providing congruity and mobility of tibial bearing. It is expected that the mobile-bearing knee could resolve the problems of component wear and component loosening as seen in fixed-bearing knees. However, the long-term durability of mobile-bearing knees has not been extensively proven to have better outcomes than that of fixed-bearing knees. There are some potential clinical complications of mobile-bearing knees that must be addressed. On the basis of our previous clinical experience and a retrieval analysis, this article summarizes five specific complications including (1) early or late dislocation of the mobile-bearing component, (2) failure or dislodging of the meniscal bearing, (3) hemarthrosis associated with a failure of the meniscal-bearing knee, (4) failure of the patellar component, and (5) higher prevalence of osteolysis. Before taking advantage of mobile bearing, we should consider these specific clinical complications, which were not found in the fixed-bearing TKA.

によって引用された
  1. Magin M.N., „Spin-out“ – eine vermeidbare Komplikation in der Knieendoprothetik, Der Orthopäde, 43, 2, 2014. Crossref

  2. Fransen B. L., van Duijvenbode D. C., Hoozemans M. J. M., Burger B. J., No differences between fixed- and mobile-bearing total knee arthroplasty, Knee Surgery, Sports Traumatology, Arthroscopy, 25, 6, 2017. Crossref

  3. Joldersma Patty, Inleiding: de knieprothese, in Kunstgewrichten: knie en enkel, 2016. Crossref

  4. Arcângelo Joana, Guerra-Pinto Francisco, Pinto André, Grenho André, Navarro Alfons, Martin Oliva Xavier, Peri-prosthetic bone cysts after total ankle replacement. A systematic review and meta-analysis, Foot and Ankle Surgery, 25, 2, 2019. Crossref

  5. Tiwari Vivek, Meshram Prashant, Park Chang Kyu, Bansal Vivek, Kim Tae Kyun, New mobile-bearing TKA with unique ball and socket post-cam mechanism offers similar function and stability with better prosthesis fit and gap balancing compared to an established fixed-bearing prosthesis, Knee Surgery, Sports Traumatology, Arthroscopy, 27, 7, 2019. Crossref

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