Archives of orthopaedic and traumatic surgery

, Volume 103, Issue 5, pp 356–358 | Cite as

Dislocation of an artificial knee component due to extraordinary function

  • R. P. H. Veth
  • H. K. L. Nielsen
  • H. Keller
  • H. Schraffordt Koops
  • S. S. N. de Graaf
  • L. N. H. Goeken
Clinical and Experimental Forum


A rare complication, namely dislocation of a knee component without fracture of the prosthesis and not caused by a trauma, is described in a patient who was treated for osteosarcoma of the femur. Probably the dislocation, which occurred 2 years postoperatively, was caused by an extraordinary function of this prosthesis. A partial revision of the prosthesis was performed. The newly designed knee component, which prevents dislocation, is described.


Public Health Osteosarcoma Rare Complication Partial Revision Knee Component 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Es wird die seltene Komplikation der Dislokation einer Knieprothese beschrieben, die ohne Fraktur einhergeht and nicht durch ein Trauma verursacht ist. Es handelt sich um einen Patienten mit einem Osteosarkom des Femur, das Veranlassung für den künstlichen Gelenkersatz war. Die 2 Jahre nach der Operation eingetretene Luxation wird in diesem Falle als Folge einer überdurch-schnittlichen Beweglichkeit der Prothese angesehen. Die Analyse des Einzelfalles führte zu einer Veränderung der Prothese, die eine Luxation vermeiden soll.


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  1. 1.
    Engelbrecht E, Nieder E, Strickle E, Keller A (1981) Intracondyläre Kniegelenksendoprothese mit Rotationsmöglichkeit — Endo-Modell®. Chirurg 52:368Google Scholar
  2. 2.
    Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106Google Scholar
  3. 3.
    Oldhoff J, Schraffordt Koops H, Nielsen HKL, de Vries JA (1983) Femur osteosarcoma treated by high dose Methotrexate, resection and reconstruction with a custom-made endoprosthesis. In: Chao EY, Ivins JC (eds) Tumor prostheses for bone and joint reconstruction. Thieme-Stratton, New York, p 141–148Google Scholar
  4. 4.
    Postma A, Kamps WA, de Graaf SSN, van Dijk HA, Nielsen HKL, Veth RPH, Oldhoff J, Schraffordt Koops H, Oosterhuis JW (1983) Treatment of osteogenic sarcoma by pre-operative chemotherapy, en bloc resection and reconstructive surgery. Proceedings 2nd International Workshop on the Design and Application of Tumor Prostheses for Bone and Joint Reconstructions. Egermann, Vienna, p 58Google Scholar
  5. 5.
    Rosen G, Caparros B, Huvros AC, Keshoff G, Nirenberg A, Cacaric A, Marcove RC, Lane JM, Mehta B, Urban C (1982) Pre-operative chemotherapy for osteogenic sarcoma. Cancer 49:1221Google Scholar
  6. 6.
    Veth RPH, Nielsen HKL, Oldhoff J, Schraffordt Koops H, den Heeten GJ, van Krieken F, Kamps W (1983) Reconstructive procedures in patients with a malignancy of the femur. Proceedings 2nd International Workshop on the Design and Application of Tumor Prostheses for Bone and Joint Reconstructions. Egermann, Vienna, p 180–181Google Scholar
  7. 7.
    Veth RPH, de Graaf SSN, den Heeten GJ, Oldhoff J, Hoekstra HJ, Schraffordt Koops H, Nielsen HKL (1984) Epiphyseal fractures in children, treated for osteosarcoma of the femur with chemotherapy, tumor resection and endoprosthesis. J Surg Oncol 26:40–46Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • R. P. H. Veth
    • 1
  • H. K. L. Nielsen
    • 1
  • H. Keller
    • 5
  • H. Schraffordt Koops
    • 2
  • S. S. N. de Graaf
    • 3
  • L. N. H. Goeken
    • 4
  1. 1.Department of Orthopaedic SurgeryUniversity Hospital GroningenThe Netherlands
  2. 2.Department of Surgical OncologyUniversity Hospital GroningenThe Netherlands
  3. 3.Department of Paediatric OncologyUniversity Hospital GroningenThe Netherlands
  4. 4.Department of RehabilitationUniversity Hospital GroningenThe Netherlands
  5. 5.Waldemar Link GmbHHamburgGermany

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