Article: Initial experiences with a total knee prosthesis implanted without bone cement

Prosthetic loosening and stem fractures have been the most frequently encountered complications of knee arthroplasties using the Guepar Hinged prothesis. The insufficient intramedullary fixation of the stem and the use of cement in the femur and tibia are primarily responsible for these complications. In our clinic, we have used an altered Guepar Hinged prothesis since 1975. The femoral and tibial stems are lengthened with medullary nails, resulting in stems with high bending and torsional stress capacities. The fixation strength of these special long stems in the medullary cavities is such that we no longer use cement for this prosthesis. The initial results of our cementless implantation of these special long-stem knee prostheses, and the advantages of this method are reported.

Citing Articles

[Special osteosynthesis-techniques for use on traumatic bone fractures in the region of hip and knee endoprostheses (author's transl)].

Ritter G, Weigand H Unfallchirurgie. 1982; 8(1):27-32.

PMID: 7071999 DOI: 10.1007/BF02585789.

References

1.

Ritter H, Overbeck W . [Our clinical experiences with Guépar total knee prosthesis (author's transl)]. Arch Orthop Unfallchir. 1974; 78(2):122-6. DOI: 10.1007/BF00416883. View

2.

Ritter H . [Critique of a total knee prosthesis, its construction, functioning and clinical approbation (the Guépar prosthesis) (author's transl)]. Arch Orthop Unfallchir. 1974; 78(2):136-46. DOI: 10.1007/BF00416885. View

3.

DEBEYRE J . [Hinge prosthesis of the knee joint]. Z Orthop Ihre Grenzgeb. 1975; 113(4):822-5. View

4.

BRUSSATIS F, Plaass U, STEEGER D . [Experiences with the hinge-joint prosthesis of the knee joint]. Z Orthop Ihre Grenzgeb. 1975; 113(4):523-4. View

5.

Mohing W . [Experiences with the Guépar knee]. Z Orthop Ihre Grenzgeb. 1975; 113(4):520-3. View

6.

Rossler H . [Problems with the endoprosthesis of the knee joint]. Z Orthop Ihre Grenzgeb. 1975; 113(4):499-500. View

7.

WITT A, Refior H . [Problems of alloplastic joint replacement (author's transl)]. MMW Munch Med Wochenschr. 1979; 121(8):264-8. View

8.

OEST O, Muller K, Noh E . [Anchoring problems of knee-joint arthroplasty]. Z Orthop Ihre Grenzgeb. 1975; 113(4):539-42. View

9.

Alnot J, Aubriot J, Deburge A, Dubousset J, KENESI C, MAZAS F . [Total anthroplasty of the knee: the G.U.E.P.A.R. prosthesis. Description and implantation technic]. Rev Chir Orthop Reparatrice Appar Mot. 1971; 57(7):575-81. View

10.

Baumann D, WITT A . [Osteosynthesis with hinge joints and methylmethacrylate (author's transl)]. Arch Orthop Unfallchir. 1977; 89(1):25-33. DOI: 10.1007/BF00414823. View

11.

WITT A, Wirth C . [Synovectomy and prosthetic substitution of rheumatic knee joints (author's transl)]. MMW Munch Med Wochenschr. 1975; 117(29-30):1239-42. View

12.

Rinecker H, Haibock H . Surgical treatment of peri-prosthetic fractures after total knee replacement (author's transl). Arch Orthop Unfallchir. 1977; 87(1):23-9. DOI: 10.1007/BF00416136. View

13.

Erban W . [Surgical experiences with the Guépar knee endoprosthesis]. Z Orthop Ihre Grenzgeb. 1975; 113(4):519-20. View

Initial Experiences with a Total Knee Prosthesis Implanted Without Bone Cement