ReviewEFORT open reviews2019
Total knee arthroplasty using hinge joints: Indications and results.
Review in EFORT open reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 75 citations in OpenAlex.
- Aseptic revision from one rotating-hinge to another rotating-hinge prosthesis - how good are the results?Archives of orthopaedic and trauma surgery · 2025Article
- Fatigue failure of constrained total knee replacement: A case report.Journal of clinical orthopaedics and trauma · 2025Article
- Clinical outcomes of standard primary vs. primary rotating hinge total knee arthroplasty: a retrospective matched-pair analysis.Journal of orthopaedic surgery and research · 2025Article
- Two- to Six-year Assessment of Survivorship and Patient-Reported Outcomes in Rotating Hinge Knee Prostheses With Porous Tibial Cone Augmentation.Arthroplasty today · 2025Article
- Robotic-assisted Conversion of Arthrodesis to Primary Total Knee Arthroplasty.Arthroplasty today · 2025Review
- Postoperative Alignment in Hinge Total Knee Arthroplasty - "Are Hinge Knees too Valgus?"The Iowa orthopaedic journal · 2025Article
- Article
- Mechanical Failure of Modular Rotating Hinge Femoral Component.Arthroplasty today · 2024Article
- A Rare Case of Posterior Dislocation of Hinge Knee Prosthesis due to Wear of Anti-Luxation Device: A Case Report.Journal of orthopaedic case reports · 2024Article
- Reconstruction of mechanical leg axis using non-modular cemented hinged prosthesis in complex primary total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Assessing the impact of distal femoral morphology using Citak's ratio: an independent risk factor for aseptic loosening in rotating hinge knee prosthesis.Archives of orthopaedic and trauma surgery · 2024Article
- Outcomes of rotating versus pure hinge knee arthroplasty in the setting of one-stage exchange for periprosthetic joint infection.International orthopaedics · 2024Article
- Primary total knee arthroplasty in hemophilic arthropathy.EFORT open reviews · 2023Review
- Treatment of neuropathic unstable knee osteoarthritis by a condylar, rotating-hinge prosthesis with cementless pentagonal stem: a case series.International journal of surgery case reports · 2023Article
- Anatomical risk factors for aseptic loosening of full hinge knee prosthesis in primary and revision TKAs.Archives of orthopaedic and trauma surgery · 2023Article
- Indications, clinical outcome and survival of rotating hinge total knee arthroplasty in a retrospective study of 63 primary and revision cases.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Implant survivorship, functional outcomes and complications with the use of rotating hinge knee implants: a systematic review.Knee surgery & related research · 2022Article
- High ten-year implant survivorship and low patellofemoral complication rate for S-ROM rotating-hinge implants in revision total knee arthroplasty : a single-centre study.Bone & joint open · 2022Article
- Prostheses option in revision total knee arthroplasty, from the bench to the bedside: (1) basic science and principles.EFORT open reviews · 2022Review
- A novel radiological classification system of the distal femur.Archives of orthopaedic and trauma surgery · 2022Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Possible indications for a rotating hinge or pure hinge implant in primary total knee arthroplasty (TKA) include collateral ligament insufficiency, severe varus or valgus deformity (> 20°) with relevant soft-tissue release, relevant bone loss, including insertions of collateral ligaments, gross flexion-extension gap imbalance, ankylosis and hyperlaxity.The use of hinged implants in primary TKA should be limited to the aforementioned selected indications, especially for elderly patients.Potential indications for a rotating hinge or pure hinge implant in revision TKA include infection, aseptic loosening, instability and bone loss.Rotating hinge knee implants have a 10-year survivorship in the range of 51% to 92.5%.Complication rates of rotating hinge knee implants are in the range of 9.2% to 63%, with infection and aseptic loosening as the most common complications.Although the results reported in the literature are inconsistent, clinical results generally depend on the implant design, appropriate technical use and adequate indications.Considering that the revision of implants with long cemented stems can be challenging, in the future it would be better to use shorter stems in modular versions of hinged knee implants. Cite this article:
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