Constraint is defi.
Constrained hinged knee replacement.
Instability is an important cause of failure following total knee arthroplasty.
They are used when the knee is highly unstable and the ligaments will be unable to support other types of prostheses.
Constrained implants in total knee replacement.
Conclusions hinged knee replacement can be considered as a viable alternative to more traditional unconstrained designs in the complex primary setting.
The purpose of this paper is to review the literature concerning the use of condylar constrained knee cck and rotating hinge rh implants in primary and revision cases focusing on the indications and results.
According to this review although excellent and very good results have been.
Constraint or hinged variety implants are rarely used as a first choice of surgical options.
Increasing component constraint may reduce instability but doing so also can cause increased forces to be transmitted to fixation and implant interfaces which may lead to premature aseptic loosening.
A constrained procedure sometimes referred to as a hinged knee replacement is performed on patients who require all of the ligaments and muscles to be removed.
Both pcl retaining and pcl substituting knee replacements are very successful with success rates over 95 in 10 year follow up studies.
4 5 constrained or hinged prostheses have tibial and femoral components that are linked together with a hinged mechanism.
This type of knee replacement is used when the knee is highly unstable and the person s ligaments will not be able to support the other type of knee.