J Korean Orthop Assoc.  1974 Sep;9(3):321-325. 10.4055/jkoa.1974.9.3.321.

Geometric Total Knee Arthroplasty: A Case Report

• Ahn JH
• Kwak DH
• Lee DY

• KMID: 2471489
• DOI: http://doi.org/10.4055/jkoa.1974.9.3.321

Abstract

We treated a 17-year-old girl with post-infectious fibrous ankylosis of the left knee by geometric total knee replacement arthroplasty. Six months after the operation, the patient has slight pain and motion full extension to 110° flexion. Biomechanically and anatomically, a hinged metal-on-metal prosthetic knee does not allow for simulation of normal knee motion, including rotation. The successful developement of the total hip replacement has encouraged the developement of an equally successful total knee replacement. The use of polymethyl metacrylate to provide secure fixation of the component parts has provided a capability not possible with any previous system of total knee arthroplasty. Geometric or polycentric total knee arthroplasty represents a major advance in joint reconstruction; while, according to Coventry and Convery, the former is more promising.

MeSH Terms

Adolescent
Ankylosis
Arthroplasty
Arthroplasty, Replacement, Hip
Arthroplasty, Replacement, Knee*
Female
Humans
Joints
Knee

Reference

1. Bryan R.B.(1971); The Quest for the Replacement. Orthopedic Clinics of North America. Vol. 2:715.

2. Bryan R.B.(1973); Polycentric Knee Arthroplasty. Clinical Orthopedics. (No. 94):136.

3. Bryan R.B. (1973); Polycentric Total Knee Arthroplasty. Orthopedic Clinics of North America. Vol. 4:575.

4. Charnley J.(1972); The Long-Term Result of Lower-Friction Arthroplasty of the Hip Performed as a Primary Intervention. J.B.J.S. 54-B:61.

5. Convery F.R.(1973); Total Knee Arthroplasty. Clinical Orthopedics. (No. 94):42.

6. Coventry M.B.(1972); A New Geometric Knee for Total Knee Arthroplasty. Clinical Orthopedics. (No. 83):157.

7. Coventry M.B.(1973); Geometric Total Knee Arthroplasty. Clinical Orthopedics. (No. 94):171.

8. Coventry M.B.(1973); Geometric Total Knee Arthroplasty. Clinical Orthopedics. (No. 94):177.

9. Gunston F.H.(1971); Polycentric Knee Arthroplasty. J. B. J. S. 53-B:272.

10. Gunston F.H.(1973); Polycentric Knee Arthroplasty. Clinical Orthopedics. (No, 94):128.

11. Mac Intosh. (1972); Hemiarthroplasty of Knee. J. B. J. S. 54-B:255.

12. Merryweather R.(1973); Total Knee Replacement of Walldius Arthroplasty. Orthopedic Clinics of North America. Vol. 4:585.

13. Riley L.H.(1973); Geometric Total Knee Replacement. Orthopedic Clinics of North America. Vol. 4:561.

14. Wilde A.H.(1973); Geometric Total Knee Replacement Arthroplasty. Orthopedic Clinics of North America. Vol. 4:547.