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Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System

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Abstract

Background:

The original knee megaprostheses with fixed or rotating hinge articulation were custom made and only used for reconstruction of the knee following distal femoral or proximal tibial tumor resections. The aim of the study was to analyze the short- and mid-term results of revision total knee arthroplasty with Global Modular Replacement System (GMRS) used in difficult situations not amenable to reconstruction with standard total knee replacement implants.

Materials and Methods:

Nine patients (9 knees) were treated with this comprehensive modular implant system, with a mean age of 73.7 years (range 56–83 years) and a mean followup of 5 years (range 3–8 years). Two patients were treated for distal femoral nonunion, five for distal femur periprosthetic fracture and two for periprosthetic joint infection.

Results:

The mean Knee Society Score: Knee and functional scores were 77.9 and 40 points, respectively. All demonstrated full extension and flexion was at least 90°. Recurrence of infection was present in one patient. No signs of loosening, dislocation, or implant failure were observed.

Conclusions:

Based on our small series of patients that represent severe cases, GMRS provides relatively good mid-term functional results, pain relief, and good implant survivorship with a low complication rate. This salvage procedure allows elderly, infirm patients to regain early ambulatory ability.

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Authors and Affiliations

  1. Department of Orthopaedics, Postgraduate Medical Education Center, Otwock, Poland

    Dariusz Marczak, Jacek Kowalczewski, Jarosław Czubak & Tomasz Okoń

  2. Department of Orthopaedics, Clinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Pomorska 251, 92-213, Lodz, Poland

    Marek Synder & Marcin Sibiński

Authors
  1. Dariusz Marczak
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  2. Jacek Kowalczewski
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  3. Jarosław Czubak
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  4. Tomasz Okoń
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  5. Marek Synder
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  6. Marcin Sibiński
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Correspondence to Marcin Sibiński.

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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Marczak, D., Kowalczewski, J., Czubak, J. et al. Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System. IJOO 51, 324–329 (2017). https://doi.org/10.4103/0019-5413.205684

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  • DOI: https://doi.org/10.4103/0019-5413.205684

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