Total Knee Arthroplasty Using Hinge Joints
This article discusses some of the considerations in planning a revision total knee arthroplasty (RTKA). Total knee arthroplasty (TKA) involves replacing all parts of the knee joint to restore functionality and function. TKA is one of the most common and reliable surgical treatments for knee disorde...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2025-04-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/2071 |
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| author | N. L. Logvinov S. N. Khoroshkov N. V. Yarygin S. N. Golev T. T. Davidyan |
| author_facet | N. L. Logvinov S. N. Khoroshkov N. V. Yarygin S. N. Golev T. T. Davidyan |
| author_sort | N. L. Logvinov |
| collection | DOAJ |
| description | This article discusses some of the considerations in planning a revision total knee arthroplasty (RTKA). Total knee arthroplasty (TKA) involves replacing all parts of the knee joint to restore functionality and function. TKA is one of the most common and reliable surgical treatments for knee disorders. However, some patients require revision total knee arthroplasty (RTKA) after TKA for a variety of reasons, including mechanical wear, implant loosening, subsidence, infection, instability, periprosthetic fracture, and stiffness. Unfortunately, the overall outcome of RTKA is not as satisfactory as that of primary TKA due to many factors, including success rates and risk factors. Our approach to improving RTKA outcomes includes the use of linked, rotating-hinge revision prostheses, as well as the treatment of patients with metaphyseal bone loss. In preoperative planning of RTKA, we use the classification of bone defects, options for restoring the joint line, which allows for individual selection of the type (kind) and components of a modular revision endoprosthesis. A clinical example also allows for substantiation of the choice of the type (kind) of endoprosthesis, namely a revision endoprosthesis with a rotating hinge. |
| format | Article |
| id | doaj-art-ac0218c0e77b468b83b41e32e83093e1 |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2025-04-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-ac0218c0e77b468b83b41e32e83093e12025-08-20T03:56:36ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172025-04-0114123123910.23934/2223-9022-2025-14-1-231-2391004Total Knee Arthroplasty Using Hinge JointsN. L. Logvinov0S. N. Khoroshkov1N. V. Yarygin2S. N. Golev3T. T. Davidyan4Clinic of Scientific MedicineRussian University of MedicineRussian University of MedicineV.P. Demikhov City Clinical HospitalV.P. Demikhov City Clinical HospitalThis article discusses some of the considerations in planning a revision total knee arthroplasty (RTKA). Total knee arthroplasty (TKA) involves replacing all parts of the knee joint to restore functionality and function. TKA is one of the most common and reliable surgical treatments for knee disorders. However, some patients require revision total knee arthroplasty (RTKA) after TKA for a variety of reasons, including mechanical wear, implant loosening, subsidence, infection, instability, periprosthetic fracture, and stiffness. Unfortunately, the overall outcome of RTKA is not as satisfactory as that of primary TKA due to many factors, including success rates and risk factors. Our approach to improving RTKA outcomes includes the use of linked, rotating-hinge revision prostheses, as well as the treatment of patients with metaphyseal bone loss. In preoperative planning of RTKA, we use the classification of bone defects, options for restoring the joint line, which allows for individual selection of the type (kind) and components of a modular revision endoprosthesis. A clinical example also allows for substantiation of the choice of the type (kind) of endoprosthesis, namely a revision endoprosthesis with a rotating hinge.https://www.jnmp.ru/jour/article/view/2071bone defectsmetaphyseal bone lossrevision knee arthroplastybone cement |
| spellingShingle | N. L. Logvinov S. N. Khoroshkov N. V. Yarygin S. N. Golev T. T. Davidyan Total Knee Arthroplasty Using Hinge Joints Неотложная медицинская помощь bone defects metaphyseal bone loss revision knee arthroplasty bone cement |
| title | Total Knee Arthroplasty Using Hinge Joints |
| title_full | Total Knee Arthroplasty Using Hinge Joints |
| title_fullStr | Total Knee Arthroplasty Using Hinge Joints |
| title_full_unstemmed | Total Knee Arthroplasty Using Hinge Joints |
| title_short | Total Knee Arthroplasty Using Hinge Joints |
| title_sort | total knee arthroplasty using hinge joints |
| topic | bone defects metaphyseal bone loss revision knee arthroplasty bone cement |
| url | https://www.jnmp.ru/jour/article/view/2071 |
| work_keys_str_mv | AT nllogvinov totalkneearthroplastyusinghingejoints AT snkhoroshkov totalkneearthroplastyusinghingejoints AT nvyarygin totalkneearthroplastyusinghingejoints AT sngolev totalkneearthroplastyusinghingejoints AT ttdavidyan totalkneearthroplastyusinghingejoints |