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Total knee arthroplasty with rotating-hinge Endo-Model prosthesis: clinical results in complex primary and revision surgery

  • Knee Arthroplasty
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Rotating-hinge knee implants are highly constrained devices able to provide the stability needed for arthroplasty in case of severe bone loss and complex instability. Notable doubts still exist in using rotating-hinge devices, mainly due to risk of mechanical failure and risk of infection.

Materials and methods

We retrospectively evaluated the functional and clinical outcomes in a series of patients treated with the rotating-hinge Endo-Model prosthesis either for primary or revision total knee arthroplasty. Between 1997 and 2009 we implanted 123 Endo-Model prosthesis (118 patients) at our institution. At the time of this study we could evaluate 45 prosthesis (25 primary and 20 revision TKAs) from the clinical and radiological site, with average follow-up of 42.2 months.

Results

During the follow-up period, three patients reported complications, which in two cases finally led to revision with explantation. Mean survival of the implants attested at 93.3 %. The average post-operative clinical Knee Society score in the evaluated series was 94.2, the functional one 78.7. The average range of motion was 0°–108°. No signs of joint instability or misalignment were noted. Pain was present in a minority of patients, but always at a mild/occasional extent. No evidences of loosening or implant failure have been reported. No substantial divergences in the outcomes have been found across different patient categories after stratification in agreement with the Knee Society.

Conclusions

Coherent with previously published works, we confirm the Endo-Model prosthesis to provide excellent pain relief, restoration of walking capacity and intrinsic knee stability both in complex primary and in revision knee arthroplasty, with good or excellent results in the majority of patients and acceptable complication rate.

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Conflict of interest

The authors, their immediate family and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article. The authors state that they have full control of all primary data and that they agree to allow the journal to review their data if requested.

Ethical standards

IRB approval: the IRB and Regional Ethical Committee were made aware of this work and of the submission of our data for publication, and gave formal approval. The study received the registration number 73/2014. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, University of Genova, School of Medicine, Padiglione 40, Largo Rosanna Benzi 10, 10132, Genova, Italy

    F. Sanguineti, T. Mangano, M. Formica & F. Franchin

Authors
  1. F. Sanguineti
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  2. T. Mangano
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  3. M. Formica
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  4. F. Franchin
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Corresponding author

Correspondence to T. Mangano.

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Sanguineti, F., Mangano, T., Formica, M. et al. Total knee arthroplasty with rotating-hinge Endo-Model prosthesis: clinical results in complex primary and revision surgery. Arch Orthop Trauma Surg 134, 1601–1607 (2014). https://doi.org/10.1007/s00402-014-2061-1

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  • DOI: https://doi.org/10.1007/s00402-014-2061-1

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