Instability after Total Knee Arthroplasty

David Clinton McNabb; Raymond H. Kim; Bryan D. Springer

doi:10.1055/s-0034-1396080

The Journal of Knee Surgery, Inhaltsverzeichnis

J Knee Surg 2015; 28(02): 097-104
DOI: 10.1055/s-0034-1396080

Special Focus Section

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Instability after Total Knee Arthroplasty

David Clinton McNabb

¹Colorado Joint Replacement, Denver, Colorado

,

Raymond H. Kim

¹Colorado Joint Replacement, Denver, Colorado

²Department of Mechanical and Materials Engineering, University of Denver, Denver, Colorado

⁴Department of Orthopaedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia

,

Bryan D. Springer

³OrthoCarolina Hip and Knee Center, Charlotte, North Carolina

⁴Department of Orthopaedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia

› Institutsangaben

Abstract

Total knee arthroplasty (TKA) has shown to portend good long-term survivorship and excellent patient satisfaction. There are various etiologies of failure of a TKA. Instability is a major cause of the need for revision. Often, increased constraint is needed to supplement or perform the function of incompetent ligament and soft tissue structures. Posterior cruciate retaining (PCR) TKA has the least constraint. Posterior cruciate substituting (PS) TKA increases sagittal constraint. Varus–valgus constraint (VVC) adds a marked increase in coronal stability. The ultimate in constraint in TKA is a linked hinged implant. In revision TKA, it is the surgeon's responsibility to implant the prosthesis with the necessary constraint to impart adequate stability.

Keywords

knee - arthroplasty - instability - revision

Volltext

Referenzen

References
1 Meftah M, Ranawat AS, Ranawat CS. Ten-year follow-up of a rotating-platform, posterior-stabilized total knee arthroplasty. J Bone Joint Surg Am 2012; 94 (5) 426-432
2 Barrington JW, Sah A, Malchau H, Burke DW. Contemporary cruciate-retaining total knee arthroplasty with a pegged tibial baseplate. Results at a minimum of ten years. J Bone Joint Surg Am 2009; 91 (4) 874-878
3 Ulivi M, Orlandini L, Meroni V, Consonni O, Sansone V. Survivorship at minimum 10-year follow-up of a rotating-platform, mobile-bearing, posterior-stabilised total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 2014;
4 Argenson JN, Parratte S, Ashour A, Saintmard B, Aubaniac JM. The outcome of rotating-platform total knee arthroplasty with cement at a minimum of ten years of follow-up. J Bone Joint Surg Am 2012; 94 (7) 638-644
5 Bryce CDLW, Scott WN, Insall JN , et al. Long Term (35 Years) Outcome Analysis of the Young Total Knee Patient: Minimum 20 Years. Chicago, IL: The 2013 Specialty Day Meeting of the Knee Society; 2013
6 Kurtz SM, Ong KL, Lau E, Bozic KJ. Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021. J Bone Joint Surg Am 2014; 96 (8) 624-630
7 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (4) 780-785
8 Sharkey PF, Lichstein PM, Shen C, Tokarski AT, Parvizi J. Why are total knee arthroplasties failing today—has anything changed after 10 years?. J Arthroplasty 2014; 29 (9) 1774-1778
9 Schroer WC, Berend KR, Lombardi AV , et al. Why are total knees failing today? Etiology of total knee revision in 2010 and 2011. J Arthroplasty 2013; 28 (8, Suppl): 116-119
10 Le DH, Goodman SB, Maloney WJ, Huddleston JI. Current modes of failure in TKA: infection, instability, and stiffness predominate. Clin Orthop Relat Res 2014; 472 (7) 2197-2200
11 Dalury DF, Pomeroy DL, Gorab RS, Adams MJ. Why are total knee arthroplasties being revised?. J Arthroplasty 2013; 28 (8, Suppl): 120-121
12 Hofmann S, Seitlinger G, Djahani O, Pietsch M. The painful knee after TKA: a diagnostic algorithm for failure analysis. Knee Surg Sports Traumatol Arthrosc 2011; 19 (9) 1442-1452
13 Gonzalez MH, Mekhail AO. The failed total knee arthroplasty: evaluation and etiology. J Am Acad Orthop Surg 2004; 12 (6) 436-446
14 Song SJ, Detch RC, Maloney WJ, Goodman SB, Huddleston III JI. Causes of instability after total knee arthroplasty. J Arthroplasty 2014; 29 (2) 360-364
15 Vince KG, Abdeen A, Sugimori T. The unstable total knee arthroplasty: causes and cures. J Arthroplasty 2006; 21 (4) (Suppl. 01) 44-49
16 Yercan HS, Ait Si Selmi T, Sugun TS, Neyret P. Tibiofemoral instability in primary total knee replacement: a review, Part 1: Basic principles and classification. Knee 2005; 12 (4) 257-266
17 Yercan HS, Ait Si Selmi T, Sugun TS, Neyret P. Tibiofemoral instability in primary total knee replacement: A review Part 2: diagnosis, patient evaluation, and treatment. Knee 2005; 12 (5) 336-340
18 Hirsh DM, Sallis JG. Pain after total knee arthroplasty caused by soft tissue impingement. J Bone Joint Surg Br 1989; 71 (4) 591-592
19 Parratte S, Pagnano MW. Instability after total knee arthroplasty. J Bone Joint Surg Am 2008; 90 (1) 184-194
20 Ecker ML, Lotke PA, Windsor RE, Cella JP. Long-term results after total condylar knee arthroplasty. Significance of radiolucent lines. Clin Orthop Relat Res 1987; (216) 151-158
21 Dennis DA, Komistek RD, Colwell Jr CE , et al. In vivo anteroposterior femorotibial translation of total knee arthroplasty: a multicenter analysis. Clin Orthop Relat Res 1998; (356) 47-57
22 Incavo SJ, Wild JJ, Coughlin KM, Beynnon BD. Early revision for component malrotation in total knee arthroplasty. Clin Orthop Relat Res 2007; 458 (458) 131-136
23 Boldt JG, Stiehl JB, Hodler J, Zanetti M, Munzinger U. Femoral component rotation and arthrofibrosis following mobile-bearing total knee arthroplasty. Int Orthop 2006; 30 (5) 420-425
24 Scuderi GR. Revision total knee arthroplasty: how much constraint is enough?. Clin Orthop Relat Res 2001; (392) 300-305
25 Pagnano MW, Hanssen AD, Lewallen DG, Stuart MJ. Flexion instability after primary posterior cruciate retaining total knee arthroplasty. Clin Orthop Relat Res 1998; (356) 39-46
26 Waslewski GL, Marson BM, Benjamin JB. Early, incapacitating instability of posterior cruciate ligament-retaining total knee arthroplasty. J Arthroplasty 1998; 13 (7) 763-767
27 Montgomery RL, Goodman SB, Csongradi J. Late rupture of the posterior cruciate ligament after total knee replacement. Iowa Orthop J 1993; 13: 167-170
28 Hofmann AA, Tkach TK, Evanich CJ, Camargo MP. Posterior stabilization in total knee arthroplasty with use of an ultracongruent polyethylene insert. J Arthroplasty 2000; 15 (5) 576-583
29 Berend KR, Lombardi Jr AV, Adams JB. Which total knee replacement implant should I pick? Correcting the pathology: the role of knee bearing designs. Bone Joint J 2013; 95-B (11, Suppl A): 129-132
30 Parsley BS, Conditt MA, Bertolusso R, Noble PC. Posterior cruciate ligament substitution is not essential for excellent postoperative outcomes in total knee arthroplasty. J Arthroplasty 2006; 21 (6) (Suppl. 02) 127-131
31 McAuley JP, Engh GA, Ammeen DJ. Revision of failed unicompartmental knee arthroplasty. Clin Orthop Relat Res 2001; (392) 279-282
32 Mabry TM, Vessely MB, Schleck CD, Harmsen WS, Berry DJ. Revision total knee arthroplasty with modular cemented stems: long-term follow-up. J Arthroplasty 2007; 22 (6) (Suppl. 02) 100-105
33 Schwab JH, Haidukewych GJ, Hanssen AD, Jacofsky DJ, Pagnano MW. Flexion instability without dislocation after posterior stabilized total knees. Clin Orthop Relat Res 2005; 440 (440) 96-100
34 Peters CL, Hennessey R, Barden RM, Galante JO, Rosenberg AG. Revision total knee arthroplasty with a cemented posterior-stabilized or constrained condylar prosthesis: a minimum 3-year and average 5-year follow-up study. J Arthroplasty 1997; 12 (8) 896-903
35 Lee GC, Lotke PA. Management of intraoperative medial collateral ligament injury during TKA. Clin Orthop Relat Res 2011; 469 (1) 64-68
36 Kim YH, Kim JS. Revision total knee arthroplasty with use of a constrained condylar knee prosthesis. J Bone Joint Surg Am 2009; 91 (6) 1440-1447
37 Chotivichit AL, Cracchiolo III A, Chow GH, Dorey F. Total knee arthroplasty using the total condylar III knee prosthesis. J Arthroplasty 1991; 6 (4) 341-350
38 Kavolus CH, Faris PM, Ritter MA, Keating EM. The total condylar III knee prosthesis in elderly patients. J Arthroplasty 1991; 6 (1) 39-43
39 Hohl WM, Crawfurd E, Zelicof SB, Ewald FC. The Total Condylar III prosthesis in complex knee reconstruction. Clin Orthop Relat Res 1991; (273) 91-97
40 Rosenberg AG, Verner JJ, Galante JO. Clinical results of total knee revision using the Total Condylar III prosthesis. Clin Orthop Relat Res 1991; (273) 83-90
41 Lachiewicz PF, Falatyn SP. Clinical and radiographic results of the Total Condylar III and Constrained Condylar total knee arthroplasty. J Arthroplasty 1996; 11 (8) 916-922
42 Nazarian DG, Mehta S, Booth Jr RE. A comparison of stemmed and unstemmed components in revision knee arthroplasty. Clin Orthop Relat Res 2002; (404) 256-262
43 Wilke BK, Wagner ER, Trousdale RT. Long-term survival of semi-constrained total knee arthroplasty for revision surgery. J Arthroplasty 2014; 29 (5) 1005-1008
44 Bottlang M, Erne OK, Lacatusu E, Sommers MB, Kessler O. A mobile-bearing knee prosthesis can reduce strain at the proximal tibia. Clin Orthop Relat Res 2006; 447: 105-111
45 Nakayama K, Matsuda S, Miura H, Iwamoto Y, Higaki H, Otsuka K. Contact stress at the post-cam mechanism in posterior-stabilised total knee arthroplasty. J Bone Joint Surg Br 2005; 87 (4) 483-488
46 Zingde SM, Leszko F, Sharma A, Mahfouz MR, Komistek RD, Dennis DA. In vivo determination of cam-post engagement in fixed and mobile-bearing TKA. Clin Orthop Relat Res 2014; 472 (1) 254-262
47 Dennis DA, Komistek RD, Mahfouz MR, Walker SA, Tucker A. A multicenter analysis of axial femorotibial rotation after total knee arthroplasty. Clin Orthop Relat Res 2004; (428) 180-189
48 Jones VC, Barton DC, Fitzpatrick DP, Auger DD, Stone MH, Fisher J. An experimental model of tibial counterface polyethylene wear in mobile bearing knees: the influence of design and kinematics. Biomed Mater Eng 1999; 9 (3) 189-196
49 Dennis DA, Komistek RD, Mahfouz MR, Outten JT, Sharma A. Mobile-bearing total knee arthroplasty: do the polyethylene bearings rotate?. Clin Orthop Relat Res 2005; 440: 88-95
50 Puloski SK, McCalden RW, MacDonald SJ, Rorabeck CH, Bourne RB. Tibial post wear in posterior stabilized total knee arthroplasty. An unrecognized source of polyethylene debris. J Bone Joint Surg Am 2001; 83-A (3) 390-397
51 Davila J, Malkani A, Paiso JM. Supracondylar distal femoral nonunions treated with a megaprosthesis in elderly patients: a report of two cases. J Orthop Trauma 2001; 15 (8) 574-578
52 Springer BD, Sim FH, Hanssen AD, Lewallen DG. The modular segmental kinematic rotating hinge for nonneoplastic limb salvage. Clin Orthop Relat Res 2004; (421) 181-187
53 Berend KR, Lombardi Jr AV. Distal femoral replacement in nontumor cases with severe bone loss and instability. Clin Orthop Relat Res 2009; 467 (2) 485-492
54 Appleton P, Moran M, Houshian S, Robinson CM. Distal femoral fractures treated by hinged total knee replacement in elderly patients. J Bone Joint Surg Br 2006; 88 (8) 1065-1070
55 Hui FC, Fitzgerald Jr RH. Hinged total knee arthroplasty. J Bone Joint Surg Am 1980; 62 (4) 513-519
56 Jones EC, Insall JN, Inglis AE, Ranawat CS. GUEPAR knee arthroplasty results and late complications. Clin Orthop Relat Res 1979; (140) 145-152
57 Rand JA, Chao EY, Stauffer RN. Kinematic rotating-hinge total knee arthroplasty. J Bone Joint Surg Am 1987; 69 (4) 489-497
58 Inglis AE, Walker PS. Revision of failed knee replacements using fixed-axis hinges. J Bone Joint Surg Br 1991; 73 (5) 757-761
59 Barrack RL, Lyons TR, Ingraham RQ, Johnson JC. The use of a modular rotating hinge component in salvage revision total knee arthroplasty. J Arthroplasty 2000; 15 (7) 858-866
60 Barrack RL. Evolution of the rotating hinge for complex total knee arthroplasty. Clin Orthop Relat Res 2001; (392) 292-299
61 Jones RE, Barrack RL, Skedros J. Modular, mobile-bearing hinge total knee arthroplasty. Clin Orthop Relat Res 2001; (392) 306-314
62 Deehan DJ, Murray J, Birdsall PD, Holland JP, Pinder IM. The role of the rotating hinge prosthesis in the salvage arthroplasty setting. J Arthroplasty 2008; 23 (5) 683-688
63 Westrich GH, Mollano AV, Sculco TP, Buly RL, Laskin RS, Windsor R. Rotating hinge total knee arthroplasty in severly affected knees. Clin Orthop Relat Res 2000; (379) 195-208