A constrained-condylar fixed-bearing total knee arthroplasty is stabilised by the medial soft tissues A constrained-condylar fixed-bearing total knee arthroplasty is stabilised by the medial soft tissues Knee Surg Sports Traumatol Arthrosc. 2020 Apr 22. doi: 10.1007/s00167-020-05995-6. Online ahead of print Background: Although constrained condylar knee (CCK) inserts are widely used for total knee arthroplasty (TKA), their long-term outcomes remain unclear Limited constrained condylar knee prosthesis, LCCK (Zimmer ®, Warsawa, IL USA) Fig. 54.2 Posterior stabilized high flex total knee prosthesis (Zimmer®, Warzawa, IL USA) CCK TKR design guides knee motion in the frontal, sagittal, and axial plane, which is achieved by a large central peg of the liner engaging with the femoral box
This surgical technique is intended to be an addendum to the Zimmer Biomet NexGen Legacy Constrained Condylar Knee (LCCK) Surgical Technique A constrained condylar knee implant without stem extensions also likely will be easier to revise and will eliminate the risk of end of stem pain Constrained Condylar knee accommodate independent posterior and distal thicknesses. The femoral augmentation blocks come pre-assembled with a screw. This facilitates attachment to the femoral component. • The femoral component size is always matched exactly with the corresponding tibial insert to minimize articula Constrained Condylar Knee (Sizes 59, 64, 69; Zimmer, Inc, Warsaw, IN). The distal ends had been potted in poly-methylmethacrylate as part of the previous experiment. The implant without the stem augment was fully cemented, but the contralateral side had cement only applied to the proximal cut surface of the tibia and th
A constrained condylar knee has the advantage of not over-lengthening the knee because sometimes, if you are left with doing so much releasing, especially in an elderly patient, you are going. Varus-valgus constrained implant(Maximum Constrained Knee). Theseimplants feature a tibial post thatengages in a deep femoral box toprovide stability. (Courtesy of Biomet,Warsaw, IN. Traditionally, increasing constraint has been in conjunction with intramedullary stems, referred to as stemmed constrained condylar knees (SCCK); however, some devices provide an intermediary option by increasing constraint without the use of stems, herein referred to as nonstemmed constrained condylar knees (NSCCK) Legacy constrained condylar knee (LCCK) components are designed in the way that they can also be used in conjunction with a posterior-stabilized (PS) polyethylene insert, when adequate collateral stability is present. This study comprised 27 revision total knee arthroplasties (TKA) treated using an LCCK prosthesis and a PS polyethylene insert
A retrospective review of a case series of revision total knee arthroplasties with a constrained condylar prosthesis by a single surgeon was performed in order to ascertain the role of this prosthesis and to determine whether it provided satisfactory results
In patients with knee osteoarthritis and instability, severe valgus deformity or bone loss, Condylar Constrained Knee (CCK) implants are widely used, due to their design-related higher stability [5, 12, 27, 29].Furthermore, in revision knee arthroplasty, the management of instability is considered one of the most difficult issues .In both cases, the CCK represents a compromise between the. OSTI.GOV Technical Report: Finite element analysis of constrained total Condylar Knee Prosthesi
Primary Constrained Condylar Knee Arthroplasty Without Stem Extensions: Prevalence and Risk Factors. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government Revision knee replacement implants (Condylar constrained) The posterior cruciate substituting (PS) also known as posterior stabilized implants are more commonly used than CR. The implant design includes a special post on the polyethylene insert and a cam mechanism on the femoral component • Constrained Condylar (CC) Femoral Components • Modular CC Tibial Components • Stem Extensions and Adapters • Femoral and Tibial Augment Blocks • Screws for Component/Component Fixation The Optetrak Logic CC Total Knee System includes non-porous knee prostheses for use in total knee joint replacement procedures focused their effort toward constrained or hinged prosthesis or toward condylar replacement. Condylar replacement knee prosthesis is define d as one where the femoral and tibial load-bearing surface are replaced with non connected artificial components . Work on the desig In reviewing 253 revision TKA [total knee arthroplasty] patients we found that the use of a posterior stabilized articulation conferred better survivorship than the condylar constrained knee polyethylene. There were higher rates of re-revision in the latter group secondary to persistent infection and aseptic loosening
A constrained condylar knee design was developed to resist coronal moments in the plane caused by soft-tissue deficiency. Constrained condylar knee designs have the advantage of allowing changes in the center of rotation during flexion, and thereby, theoretically impart less tangential anterior-posterior stress across the prosthetic interface The LEGION Total Knee System is a comprehensive system designed to allow surgeons to address straightforward primary to complex revision knee arthroplasty. By virtue of its unique implant design features, proprietary materials and intuitive instrumentation, LEGION empowers surgeons to manage diverse surgical challenges and provide personalized joint care with one system, one company Background: Constrained condylar knee (CCK) prosthesis are common used for revision surgery but can also help surgeons to improve implant stability in primary knee arthroplasty, in fact in severe knee arthrosis with serious deformity associated with a significant instability a more constrained articulation is required. With introduction of second generation of semi-constrained prosthesis, rate. Allograft-prosthesis composite (APC) can restore capsular and ligamentous tissues of the knee sacrificed in a tumor extirpation. We asked if performing APC would restore knee stability and allow the use of nonconstrained arthroplasty while preventing aseptic loosening. We retrospectively compared 50 knee APCs performed with non-constrained revision knee prosthesis (Group 1) with 36 matched.
4. Anderson, J.A., et al., Primary constrained condylar knee arthroplasty without stem extensions for the valgus knee. Clin Orthop Relat Res, 2006. 442: p. 199-203. 5. Krackow, K.A. and W.M. Mihalko, Flexion-extension joint gap changes after lateral structure release for valgus deformity correction in total knee arthroplasty: a cadaveric study three-compartment knee prosthesis GMK REVISION. revision sliding, condylar-constrained. three-compartment knee prosthesis. GMK REVISION. THERE ARE NO IMPOSSIBLE CHALLENGES The entire GMK Total Knee Replacement System has been designed to preserve the joint functionality without dramatically altering its anatomy and kinematics, even in cases of. A constrained implant (ie CCK: constrained condylar knee) can be used when the soft tissue alone cannot provide enough stability to the knee. The constrained implant increases the width of the post on the poly to partially or fully engage the femoral implant boxthus increasing the articular congruency, and giving added stability in the. Designed to work with the body. With over 15 years and over 3 million implantations worldwide, Triathlon has a long clinical history. 1-3 In a 10-year follow-up study, Triathlon showed 99% survivorship. 3 Triathlon was designed to incorporate some of the most studied features of Stryker's prior designs that have been shown to address many of. such situation, constrained condylar knee (CCK) design is the ultimate choice. This study primarily aimed to report on clinical outcome, regain of function, and complication of pa tients who underwent primary CCK-TKA for severe deformity of the knee secondary to post-traumatic arthritis. The secon dary aim was to find out the mid-term.
Between 1988 and 1993, 44 consecutive primary Constrained Condylar Knee prostheses were implanted in 37 patients (average age, 72.7 years) with an average valgus angle of 17.6 degrees. Indications for the Constrained Condylar Knee implant were: elderly patients with genu valgum deformity and medial collateral ligament incompetence Condylar-constrained, non-linked total knee arthroplasty (CCK-TKAs) are designed to provide more inherent mechanical stability than standard primary implants, often by using larger tibial posts or having a more conforming fit between the femoral condyles and the tibial bearing surface .There may be a perceived trade-off with these highly conforming designs: they could rely less on soft.
Since 2006, we have been using a second-generation constrained condylar knee prosthesis with a right and left femoral components, modular stem extensions for both the femoral and tibial components, and a new locking mechanism for the constrained tibial polyethylene liner. A feature of the second-generation prosthesis is that it allows 2° of. Purpose Constrained condylar knee (CCK) implants are commonly used in a revision setting. They are designed to fix the prosthesis to the host bone at epiphysis and diaphysis to provide good construct stability and provide flexibility to balance the knee in the coronal and sagittal planes Cholewinski P, Putman S, Vasseur L, et al. Long-term outcomes of primary constrained condylar knee arthroplasty. Orthop Traumatol Surg Res. 2015;101:449-454. 9. Camera A, Biggi S, Cattaneo G, Brusaferri G. Ten-year results of primary and revision condylar-constrained total knee arthroplasty in patients with severe coronal plane instability Abstract. Background: To report incidence, microbiological findings, and treatment outcome of prosthetic joint infection (PJI) after constrained condylar knee arthroplasty. Methods: Retrospective study of 100 consecutive complex primary and revision total knee arthroplasties operated with constrained condylar knee arthroplasties between February 2006 and October 2015 at a single institution Brand Name: NexGen® Legacy® Knee - Constrained Condylar Knee (LCCK) Version or Model: 5989-37-31. Commercial Distribution Status: In Commercial Distribution. Catalog Number: 00-5989-037-31. Company Name: Zimmer, Inc. Primary DI Number: 00889024223738. Issuing Agency: GS1
Rotating hinge knee versus constrained condylar knee in revision total knee arthroplasty: A meta-analysi Different constrained condylar knee (CCK) prosthesis designs exist to give greater stability in the face of ligamentous or bony deficiency.9 An insert of a constrained condylar knee prosthesis is characterised by the high and broad central post that fits closely against the femoral cam, providing increased stability.10 A constrained hinged. Purpose To evaluate clinical and radiological outcome of the full cementation technique in revision total knee arthroplasty (TKA) using a constrained condylar knee (CCK) prosthesis. Materials and Methods Between January 2008 and March 2012, 18 cases (16 patients) of fully cemented revision TKA were performed using a CCK prosthesis. Fifteen cases of aseptic loosening (13 patients) and 3 cases. In elderly low-demand patients, we prefer to use a constrained condylar knee to avoid the morbidity of extensive releases on the lateral side of the knee and to avoid the potential complications of peroneal nerve palsy and instability in flexion or extension. Bullek and associates (1996) evaluated the results of index-constrained condylar total.
Severe valgus deformity is manageable with soft tissue release, constrained condylar implant. Orthopedics Today— June 14, 2017. Orthopedics Today featured Steven B. Haas, MD, chief of knee service at HSS, who discussed how a valgus knee deformity can affect total knee replacement surgery. Dr. Haas explained the cause of a valgus, which is a. Most patients requiring revision total knee arthroplasty (TKA) can be managed by posterior-stabilized or varus- or valgus-constrained condylar revision knee systems prosthesis, knee, patellofemorotibial, semi-constrained, cemented, polymer/metal/polymer various sizes Product Usage This device is indicated for patients with severe knee pain and disability due to: Rheumatoid arthritis, osteoarthritis, traumatic arthritis, polyarthritis Medial ligament reconstruction during total knee arthroplasty (TKA) is only infrequently indicated and less frequently performed. and when using a total stabilized or constrained condylar knee.
Lee JK, Lee S, Kim D, et al. Revision total knee arthroplasty with varus-valgus constrained prosthesis versus posterior stabilized prosthesis. Knee Surg Sports Traumatol Arthrosc. 2013; 21:620-628. 10.1007/s00167-012-1998-2. Google Scholar; 30. Kim YH, Kim JS. Revision total knee arthroplasty with use of a constrained condylar knee prosthesis Prosthesis, knee, patellofemorotibial, semi-constrained, cemented, polymer/metal/polymer - Product Code JWH: Product: Optetrak Constrained Condylar Offset Screw, Size LL, Ref 208-04-79, Sterile, RX. Code Information: All lot numbers: Recalling Firm/ Manufacturer: Exactech, Inc. 2320 NW 66th Ct Gainesville FL 32653-1630: For Additional. Primary Constrained Condylar Knee Arthroplasty Without Stem Extensions: Prevalence and Risk Factors. Latest version (submitted December 20, 2017) on ClinicalTrials.gov. A study version is represented by a row in the table. Select two study versions to compare. One each from columns A and B In this procedure, she was revised to a condylar femoral constrained prosthesis, the NexGen Legacy Constrained Condylar Knee (LCCK), Zimmer (Zimmer Inc., Warsaw, IN, USA). This prosthesis is designed to limit varus/valgus movement to 1.25 degrees and internal/external rotation to 2 degrees. After 10 months with this condylar constrained. .[sup],,, Constrained condylar knee (CCK) prostheses are.
Application of CCK prosthesis in revision of knee joint. With the development of total knee arthroplasty, there are more and more knee revision surgery in clinic, and the constrained condylar knee joint prosthesis (CCK) is the most commonly used prosthesis to deal with the revision of knee surgery.. Today, we can comprehend the application of the constrained condylar knee joint prosthesis (CCK. An Optetrak Non-Modular Constrained Condylar Knee was inserted without stems (Exactech®, Gainesville , FL ) to assist with the marked lateral ligament attenuation with persistent coronal plane imbalance which presented following a medial ligament release NexGen Complete Knee Solution Legacy Knee Constrained Condylar Knee (LCCK),The NexGen Legacy LCCK Femoral Component is intended for patients who require additional prosthetic stabilization due to inadequate mediolateral, anteroposterior and varus/valgus ligament function, and require augmentation and/or stem extensions due to inadequate bone stock
constrained implant remains a challenge for many sur-geons . Several authors have raised concerns that high constraint [constrained condylar knee (CCK)] prostheses and hinge prostheses are associated with a higher risk of loosening and exposure to technical difficulties in the case of revision . Systematic recourse to implant high The IB Constrained Condylar Knee prosthesis is a modular implant that permits the addition of femoral and tibial augments and stem extensions. (Reprinted with permission from Zimmer, Warsaw, IN). Fig 19. The Legacy CCK prosthesis has a large assortment of modular options failure of a posterior stabilized legacy constrained condylar knee (LCCK) prosthesis (ZimmerBiomet, Warsaw, IN). Informed consent for the procedure and publication was ob-tainedanddocumented.Uponentryintotheknee,itwasnotedthat the patient had thickened black-stained synovium (Figs. 2 and 3). The joint ﬂuid appeared relatively normal Constrained : Sleeved modular hinged TKA Fully constrained hinged TKA Hinged TKA Restrained knee Zimmer constrained TKA Zimmer NexGen Legacy TKA Zimmer NexGen condylar constrained TKA Sperocentric prosthesis 71F Reverse TKA : Reverse femortibial arthroplasty Femorotibial arthroplasty : Femorotibial Knee Arthroplast
Orthopaedics & Traumatology: Surgery & Research - Vol. 101 - N° 4 - p. 449-454 - Long-term outcomes of primary constrained condylar knee arthroplasty - EM|consult The suitability of grafted vitamin‐E highly crosslinked polyethylene (VE‐HXPE) for use in posterior stabilized (PS) and constrained condylar knee (CCK) applications has not been explored. We hypothesized that VE‐HXPE performs better than conventional and crosslinked polyethylene under clinically relevant conditions Constrained Posterior Stabilized (CPS) articular surfaces are designed to provide a level of internal external (I/E) and varus/valgus (V/V) support that lies between traditional posterior stabilized (PS) and constrained condylar knee (CCK) implants. However, there is a lack of published information comparin Finite Element Analysis of Constrained Total Condylar Knee Prosthesis Final Report CRADA No. TSB-1152-95. Full Record; Other Related Research; Abstract. There were two purpose to the CRADA 1. To modify the LLNL High Fidelity Knee Model to accept the geometry of the Exactech Total Knee; and 2. To perform parametric studies of the possible design. It is important to keep the condylar knee constrained and rotate the hinge knee as back up based on the severity and pathology of valgus. Femur first—Reduce the valgus degree of resection to 3°; the entry point for IM rod in a valgus knee is usually more medial than in a standard knee. Ascertain the point with preoperative radiographs
. We wanted to validate outcomes of revision total knee arthroplasty (TKA) using legacy CCK prostheses combined with a PS articular surface BACKGROUND Different levels of constraint for total knee arthroplasty can be considered for revision surgeries. While prior studies have assessed the clinical impact and patient outcomes of condylar constrained knee (CCK) and rotating hinged (RTH) implants, nowadays little is known about the biomechanical effects induced by different levels of constraint on bone stress and implant micromotions
. Westrich and colleagues 6 reported disengagement of the locking bolt of the Insall-Burstein II Constrained Condylar Knee (Zimmer) leading to. Conclusions. The need of constraint is relatively infrequent in primary versus revision total knee arthroplasty. Indications include deficient collateral ligaments, inadequate soft tissue balancing that cannot be salvaged, and marked metaphyseal bone loss (i.e, supracondylar femur or proximal tibia)
Varus-Valgus Constrained Knee. Varus-valgus constrained implants have a tall tibial post and a deep femoral box, providing inherent stability in the coronal plane. The influence of tibial-patellofemoral location on function of the knee in patients with the posterior stabilized condylar knee prosthesis INTRODUCTION. In total knee arthroplasty (TKA) severe coronal plane instability of the knee is difficult to balance with a cruciate-retaining (CR) or a posterior-stabilized (PS) implant .In such conditions, a 'constrained condylar knee' (CCK) implant is preferred .CCK implants are, in fact, characterized by a large and tall tibial intercondylar eminence, which fits closely into a deep. The increasing number of revision knee arthroplasty result in the more frequently use of a constraint implant but results from previous reports are difficult to interpret. The purpose of this study was to compare the long-term outcomes of superficial cemented versus metaphyseal cemented in revision total knee arthroplasty with a condylar constrained arthroplasty