ArticleInternational orthopaedics2021
Risk factors for aseptic loosening in complex revision total knee arthroplasty using rotating hinge implants.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Cones and sleeves present good survival and clinical outcome in revision total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Is there an association between distal femoral morphology and periprosthetic femoral fracture risk after Posterior-Stabilized Total Knee Arthroplasty?International orthopaedics · 2026Article
- Influence of constraint mechanism on kinematics, contact mechanics, and polyethylene wear in dual-axis rotating hinge and ball-and-socket knee prostheses: a finite element study.Frontiers in bioengineering and biotechnology · 2026Article
- Is there a correlation between distal femur anatomy and bone mineral density measurements?Archives of orthopaedic and trauma surgery · 2025Article
- A novel radiological index uses the inner canal diameter and the Citak classification index to predict risk factor for aseptic loosening following hinged total knee arthroplasty.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
- Management of Bone Loss in Revision Total Knee Arthroplasty: An International Consensus Symposium.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Review
- Aseptic midterm survival rates between different cemented tibial stem designs in hinged total knee arthroplasty: a 6-year evaluation from the German Arthroplasty Registry.Archives of orthopaedic and trauma surgery · 2024Article
- Re-revision Total Knee Arthroplasty: Causes, Risk Factors and Results.The archives of bone and joint surgery · 2024Review
- Excellent mid- to long-term survival of tantalum metal cones in a case series of revision knee arthroplasty with severe bony defects.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The anatomical shape of the proximal femur correlates with the distal femur anatomy.Archives of orthopaedic and trauma surgery · 2023Article
- Anatomical risk factors for aseptic loosening of full hinge knee prosthesis in primary and revision TKAs.Archives of orthopaedic and trauma surgery · 2023Article
- Does stem profile have an impact on the failure patterns in revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Enhancing the radiological classification system from the distal femur to the proximal tibia.Joint diseases and related surgery · 2022Article
- Patient-reported outcomes after primary rotating hinge total knee arthroplasty: a multi-centre clinical cohort study.International orthopaedics · 2021Observational
- Comment on "Risk factors for aseptic loosening in complex revision total knee arthroplasty using rotating hinge implants".International orthopaedics · 2021Article
- Letter to editor "Risk factors for aseptic loosening in complex revision total knee arthroplasty using rotating hinge implants".International orthopaedics · 2021Article
- Reply to the Letter to Editor by Aliyev et al.: Think about the distal femoral anatomy differences!International orthopaedics · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to determine the risk factors of aseptic loosening (AL) in complex revision total knee arthroplasty (TKA) cases using rotating hinge knee prosthesis.
methodsPatients who had undergone re-revision rotating hinge prosthesis surgery between January 2012 and December 2017 were included. Parameters related to AL were retrospectively reviewed. For this purpose, 31 aseptic loosening patients and 30 control patients were included in the study. Various risk factors were evaluated. Risk factors for AL after re-revision were determined using univariate and multiple logistic regression analyses.
resultsThirty-one AL patients and 30 control patients were included. In the AL group, tibial tantalum cone and impaction grafting were performed significantly less frequently than the control group (p = 0.002 and p < 0.001). Logistic regression analysis revealed that smoking, right-sided TKA, and large femoral canal anteroposterior diameter were factors that increased the risk of AL after re-revision, while tibial tantalum cone decreased the risk of loosening. Smokers had an 11.847-fold higher risk for AL; right-sided TKA led to a 4.594-fold higher risk for AL. However, the presence of a tibial tantalum cone was associated with an 8.403-fold lower risk for AL.
conclusionsWe conclude that smoking, right-sided prosthesis, and large femoral canal diameter increased the risk of AL, while tantalum cone and impaction grafting reduced this risk in patients who underwent re-revision surgery with rotating hinge prosthesis after TKA.
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