Failure in Constraint: "Too Much"

  • N. Wülker
  • M. Lüdemann


Constraint is limitation of motion in a joint, e.g., due to an axis mechanism or to conformity between two articular surfaces. In addition to flexion and extension, the normal knee has some anterior-posterior translation and rotates around a vertical axis. If these motions are impeded by excessive constraint in a prosthetic design, no physiological motion will be possible. Unfavorable long-term results and complications have been reported in this setting. Possible sequels of excessive constraint are fatigue of the bone-prosthesis interface, limitation of motion, patellar displacement, or periprosthetic fracture.


Total Knee Arthroplasty Total Knee Replacement Periprosthetic Fracture Knee Prosthesis Surface Replacement 
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.


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© Springer Medizin Verlag Heidelberg 2005

Authors and Affiliations

  • N. Wülker
  • M. Lüdemann

There are no affiliations available

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