Abstract
In constrained condylar total knee replacement (CCK TKR), motion of the knee is guided in the frontal, sagittal, and axial plane. It is achieved by a relatively large central peg of the liner, which engages with the metallic femoral box. Constrained condylar knee replacement is indicated in unstable knees, in which adequate soft tissue balancing cannot be achieved during surgery. Careful clinical examination or mediolateral stress X-ray using the Telos® device prior to surgery may help to identify those patients who should be treated with a CCK.
Clinical outcome and survival rates have shown comparable results when compared to primary unconstrained TKR. The use of stems is frequently but not always necessary in CCK. In primary TKR, CCK can be performed without stems, providing intact bone stock on both the femoral and tibial site. However, in revision surgery due to the lack of bony support, stems are recommended. Here up to 40 % of fixation load is taken by the intramedullary stems.
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Becker, R., Hirschmann, M.T. (2015). 54 Constrained Condylar Total Knee Replacement. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_65
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DOI: https://doi.org/10.1007/978-3-319-08099-4_65
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