Document Detail

Results and complications after arthroplasty with a totally constrained total knee prosthesis (GUEPAR).
MedLine Citation:
PMID:  2802499     Owner:  NLM     Status:  MEDLINE    
A series of 51 patients (55 knees) with implanted GUEPAR totally constrained endoprosthesis was followed up clinically and radiologically for a mean of 5.0 years (range 1.5-11.8 years). Good relief of pain, increased range of knee movement and of walking capability were observed. There was, however, an unacceptable amount of severe complications. Three endoprostheses had to be removed and arthrodesis performed. Revision arthroplasty was carried out in 8 cases due to aseptic loosening of the prosthesis. In 25 cases lateral displacement or total dislocation of the patella was confirmed with tangential patellar X-ray projections. We suggest that the GUEPAR totally constrained total knee endoprosthesis and similar constructions should be chosen in only special cases, when aged patients have extremely damaged and unstable knee joints and non-constrained prostheses are not considered suitable.
V Hoikka; E Vankka; A Eskola; T S Lindholm
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annales chirurgiae et gynaecologiae     Volume:  78     ISSN:  0355-9521     ISO Abbreviation:  Ann Chir Gynaecol     Publication Date:  1989  
Date Detail:
Created Date:  1989-11-01     Completed Date:  1989-11-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7609767     Medline TA:  Ann Chir Gynaecol     Country:  FINLAND    
Other Details:
Languages:  eng     Pagination:  94-6     Citation Subset:  IM    
Department of Orthopaedics, Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
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MeSH Terms
Follow-Up Studies
Knee Prosthesis*
Middle Aged
Postoperative Complications / etiology*
Prosthesis Failure
Surgical Wound Infection

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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