Skip to main content
SpringerLink
Log in

Failure in Constraint: "Too Much"

  • Chapter
Total Knee Arthroplasty

Summary

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Benevenia J, Lee FY, Buechel F, Parsons JR (1998) Pathologic supracondylar fracture due to osteolytic pseudotumor of knee following cementless total knee replacement. J Biomed Mater Res 43:473–477

    Article  PubMed  Google Scholar 

  2. Blauth W, Hassenpflug J (1990) Are unconstrained components essential in total knee arthroplasty? Long-term results of the Blauth knee prosthesis. Clin Orthop 258:86–94

    PubMed  Google Scholar 

  3. Cameron HU, Hu C, Vyamont D (1997) Hinge total knee replacement revisited. Can J Surg 40:278–283

    PubMed  Google Scholar 

  4. Draganich LF, Whitehurst JB, Chou LS, Piotrowski GA, Pottenger LA, Finn HA (1999) The effects of the rotating-hinge total knee replacement on gait and stair stepping. J Arthroplasty 14:743–755

    Article  PubMed  Google Scholar 

  5. Easley ME, Insall JN, Scuderi GR, Bullek DD (2000) Primary constrained condylar knee arthroplasty for the arthritic valgus knee. Clin Orthop 380:58–64

    PubMed  Google Scholar 

  6. Gschwend N, Siegrist H (1991) The GSB knee joint: reoperation and infections. Orthopade 20:197–205

    PubMed  Google Scholar 

  7. Heinert K, Engelbrecht E (1988) Long-term comparison of the "St. Georg" knee endoprosthesis system. 10-year survival rates of 2,236 gliding and hinge endoprostheses. Chirurg 59:755–762

    PubMed  Google Scholar 

  8. Hendel D, Garti A, Weisbort M (2003) Fracture of the central polyethylene tibial spine in posterior stabilized total knee arthroplasty. J Arthroplasty 18:672–674

    Article  PubMed  Google Scholar 

  9. Hoikka V, Vankka E, Eskola A, Lindholm TS (1989) Results and complications after arthroplasty with a totally constrained total knee prosthesis (GUEPAR). Ann Chir Gynaecol 78:94–96

    PubMed  Google Scholar 

  10. Hui FC, Fitzgerald RH Jr (1980) Hinged total knee arthroplasty. J Bone Joint Surg [Am] 62:513–519

    PubMed  Google Scholar 

  11. Jones GB (1968) Arthroplasty of the knee by the Walldius prosthesis. J Bone Joint Surg [Br] 50:505–510

    Google Scholar 

  12. Jones EC, Insall JN, Inglis AE, Ranawat CS (1979) GUEPAR knee arthroplasty results and late complications. Clin Orthop 140:145–152

    PubMed  Google Scholar 

  13. Jones RE, Skedros JG, Chan AJ, Beauchamp DH, Harkins PC (2001) Total knee arthroplasty using the S-ROM mobile-bearing hinge prosthesis. J Arthroplasty 16:279–287

    Article  PubMed  Google Scholar 

  14. Knutson K, Lindstrand A, Lidgren L (1986) Survival of knee arthroplasties. A nation-wide multicentre investigation of 8000 cases. J Bone Joint Surg [Br] 68:795–803

    Google Scholar 

  15. Lee TQ, Yang BY, Sandusky MD, McMahon PJ. The effects of tibial rotation on the patellofemoral joint: assessment of the changes in in situ strain in the peripatellar retinaculum and the patellofemoral contact pressures and areas. J Rehabil Res Dev 2001 38:463–469

    PubMed  Google Scholar 

  16. Mascard E, Anract P, Touchene A, Pouillart P, Tomeno B (1998) Complications from the hinged GUEPAR prosthesis after resection of knee tumor. 102 cases. Rev Chir Orthop Reparatrice Appar Mot 84:628–637

    PubMed  Google Scholar 

  17. Mikulak SA, Mahoney OM, dela Rosa MA, Schmalzried TP (2001) Loosening and osteolysis with the press-fit condylar posterior-cruciate-substituting total knee replacement. J Bone Joint Surg [Am] 83:398–403

    PubMed  Google Scholar 

  18. Most E, Zayontz S, Li G, Otterberg E, Sabbag K, Rubash HE (2003) Femoral rollback after cruciate-retaining and stabilizing total kneearthroplasty. Clin Orthop 410:101–113

    PubMed  Google Scholar 

  19. Rinta-Kiikka I, Alberty A, Savilahti S, Pajamaki J, Tallroth K, Lindholm TS (1997) The clinical and radiological outcome of the rotating hinged knee prostheses in the long-term. Ann Chir Gynaecol 86:349–356

    PubMed  Google Scholar 

  20. Rottger J, Heinert K (1984) St. Georg knee endoprosthesis system (slide and hinge principle). Observations and results following 10 years’ experience with over 3,700 operations. Z Orthop Ihre Grenzgeb 122:818–826

    PubMed  Google Scholar 

  21. Shiers LG (1954) Arthroplasty of the knee; preliminary report of new method. J Bone Joint Surg [Br] 36:553–560

    Google Scholar 

  22. Sprenger TR, Doerzbacher JF (2002) Long-term follow-up of the GSB II total knee used in primary total knee arthroplasty. J Arthroplasty 17:176–183

    Article  PubMed  Google Scholar 

  23. Springer BD, Hanssen AD, Sim FH, Lewallen DG (2001) The kinematic rotating hinge prosthesis for complex knee arthroplasty. Clin Orthop 392:283–291

    PubMed  Google Scholar 

  24. Walker PS, Manktelow AR (2001) Comparison between a constrained condylar and a rotating hinge in revision knee surgery. Knee 8:269–279

    Article  PubMed  Google Scholar 

  25. Walldius B (1957) Arthroplasty of the knee using an endoprosthesis. Acta Orthop Scand [Suppl 24]:1–112

    PubMed  Google Scholar 

  26. Wang CJ, Wang HE. Early catastrophic failure of rotating hinge total knee prosthesis. J Arthroplasty 2000 15:387–91

    Article  PubMed  Google Scholar 

Download references

Authors
  1. N. Wülker
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Lüdemann
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Universitair Ziekenhuis, Weligerveld 1, 3212, Pellenberg-Leuven, Belgium

    Johan Bellemans (Professor) (Professor)

  2. Department of Orthopedic Surgery, San Francisco Medical Center, 500 Parnassus Ave., MU 320-W, San Francisco, CA, 94143, USA

    Michael D. Ries (Professor) (Professor)

  3. AZ St-Lucas Hospital, Sint-Lucaslaan 29, 8310, Brugge, Belgium

    Jan M.K. Victor M.D.

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Wülker, N., Lüdemann, M. (2005). Failure in Constraint: "Too Much". In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_11

Download citation

  • DOI: https://doi.org/10.1007/3-540-27658-0_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20242-4

  • Online ISBN: 978-3-540-27658-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation