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Re: knee replacement
Rafael Vega 06 Сентябрь 2007, 07:19
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I think that you must change this implant and use a hinge type implant.
Probably, a Hinge (Zimmer) or a RT-Plus (Smith and Nephew). This implant solve the problem a instability in the medial o lateral ligament of the knee
Best Regards,
Rafael Vega
COT
Clinica San Roque
Las Palmas
Canary Island
Spain
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Re: knee replacement
Dr.Rajkmar Thangaraj 06 Сентябрь 2007, 07:20
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dear sir,
thank you for showing the medial instability after TKR for this lady. if there is only valgus /varus instabilty for this patient may be a revision TKR with constrained prosthesis from zimmer nexgen LCCK or any other revision knee system with constrained prosthesis with longer femoral and tibial stems is the one option i can think of although i must admit i don't have my personal experiance regarding the constrained prosthesis at the moment. kindly inform what
do u think.
thanking you,
yours sincerely,
Dr.Rajkmar Thangaraj.
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Re: knee replacement
M. Maisigov 07 Июль 2008, 02:41
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i agree with previous authors
there are only 3 ways to handle the problem, the first is to leave it as it is (using crutches along with a constrained knee brace); the second is another revision & using a constrained or hinged revision knee prosthesis, in this case the severity of bone loss is crucial, so don't forget about it; & the third is arthrodesis as the last resort
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knee replacement
