Advertisement

Design Criteria, Present Indication and Implantation Techniques for Artificial Knee Joints

  • N. Gschwend
Chapter

Abstract

When comparing the development of the alloarthroplasty of the hip joint with that of the knee joint, the following two essential differences become apparent:
  1. 1.

    The success rate, measured by the number of cases that exhibit postoperatively normal or almost normal articular function, is greater in the case of the total replacements of the hip joint than in the case of the knee joint.

     
  2. 2.

    The number of existing models for alloarthroplasty of the hip is smaller by far. They differ primarily in the mode of anchoring the individual prosthetic components: with or without cement (Shivas), supporting fin principle (Mittelmeier, Tragrippenprinzip), isoelastic prosthesis (Mathys), shorter stem with three-point support or longer stem, — and, closely connected with this, the materials used: metal/metal, metal/ polyethylene, metal/ceramic, porometal, isoelastic materials, etc. On the other hand, apart from minor differences (such as head-cup radius relation, safeguard against dislocation) the mechanics of the joint are the same.

     

Keywords

Knee Joint Cruciate Ligament Femoral Component Femoral Condyle Posterior Cruciate Ligament 
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.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Attenborough, C.G.: Stabilized gliding total knee replacement. In: The Knee Joint. Int. Congress Rotterdam 1973. Excerpta Medica, Amsterdam 1974, 228Google Scholar
  2. 2.
    Aubriot, J.H., Deburge, A., Schramm, P.: La prothèse Guepar. Acta Orthopaedica Belgica 39, 257 (1973)PubMedGoogle Scholar
  3. 3.
    Blauth, W.: Über eine neue Kniegelenk-Totalprothese. Medizinisch-Orthopädische Technik 94, 65 (1974)Google Scholar
  4. 4.
    Coventry, M.B., Finerman, G.A., Riley, L.H., Turner, R., Upshaw, J.E.: A new geometric knee for total knee arthroplasty. Clinical Orthopaedics and Related Research 83, 157 (1972)PubMedCrossRefGoogle Scholar
  5. 5.
    Deane, S.: A new concept in knee joint design. In: The Knee Joint. Int. Congress Rotterdam 1973. Excerpta Medica, Amsterdam 1974, 244Google Scholar
  6. 6.
    Devas, M.: Link arthroplasty of the knee In: The Knee Joint. Int. Congress Rotterdam 1973. Excerpta Medica, Amsterdam 1974, 248Google Scholar
  7. 7.
    Engelbrecht, E., Zippel, J.: The sledge prosthesis “model St. Georg”. Acta Orthopaedica Belgica 39, 203 (1973)PubMedGoogle Scholar
  8. 8.
    Freeman, M.A., Swanson, S.A., Todd, R.C.: Total replacement of the knee, design considerations and early clinical results. Acta Orthopaedica Belgica 28, 181 (1973)Google Scholar
  9. 9.
    Gschwend, N., Scheier, H., Bähler, A.: The GSB knee prosthesis. In: The Knee Joint. Int. Congress Rotterdam 1973, Excerpta Medica, Amsterdam 1974, 261Google Scholar
  10. 10.
    Gunston, F.H.: Polycentric knee arthroplasty. Clinical Orthopaedics and Related Research 94, 128 (1973)PubMedCrossRefGoogle Scholar
  11. 11.
    Herbert, J.J., Herbert, A.: Nouvelle prothèse totale du genou. Revue de Chirurgie Orthopédique 59, 451 (1973)Google Scholar
  12. 12.
    Huson, A.: The functional anatomy of the knee joint: The closed kinematic chain as a model of the knee joint. In: The Knee Joint. Int. Congress Rotterdam 1973, Excerpta Medica, Amsterdam 1974, 163Google Scholar
  13. 13.
    Kapandji, I.A.: The Physiology of the Joints. Edinburgh and London, Churchill Livingstone 1970Google Scholar
  14. 14.
    Kodama, T., Yamamoto, S.: Total knee prothesis without hinge. In: Total Knee Replacement. September 1974, London, p. 88Google Scholar
  15. 15.
    Mathys, R.: Stand der Verwendung von Kunststoffen für künstliche Gelenke. Aktuelle Traumatologie 3, 253 (1973)Google Scholar
  16. 16.
    Menschik, A.: Mechanik des Kniegelenkes. Zeitschrift für Orthopädie 112, 481 (1974)Google Scholar
  17. 17.
    Mittelmeier, H.: Zementlose Verankerung von Endoprothesen nach dem Tragrippenprinzip. Zeitschrift für Orthopädie 112, 27 (1974)Google Scholar
  18. 18.
    Ranawat, C.S., Insell, J., Shine, J.: Total knee replacement duo-condylar and uni-condylar hospital for special surgery design. In: Conference on total knee replacement, September 1973, London, p. 84Google Scholar
  19. 19.
    Sheehan, J.M.: Arthroplasty of the knee. In: Conference on total knee replacement, September 1974, London, p. 80Google Scholar
  20. 20.
    Shiers, L.G.P.: Total replacement of the knee joint. Acta Orthopaedica Belgica 39, 252 (1973)PubMedGoogle Scholar
  21. 21.
    Sivash, K.M.: Development of alloplasty of the hip joint in the last 15 years. Orthop. Traum. Protez. 11, 28 (1969)Google Scholar
  22. 22.
    Townley, C., Hill, L.: Total knee replacement. Amer.J.Nursing 74, 1612 (1974)Google Scholar
  23. 23.
    Trillat, A., Dejour, H., Bousquet, G., Grammont, L.: La prothèse rotataire du genou. Acta Orthopaedice Belgica 39, 296 (1973)Google Scholar
  24. 24.
    Walldius, B.: A comparative analysis of different methods for arthroplasty of the knee. In: Conference on total knee replacement. September 1974, London, p. 34Google Scholar
  25. 25.
    Waugh, T.R., Smith, R.C., Anzel, S.H., Orofino, C.F.: U.C.I.-Total knee surgical procedure. Memphis: Wright Manufacturing Comp. 1972Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1976

Authors and Affiliations

  • N. Gschwend

There are no affiliations available

Personalised recommendations