Would you like email updates of new search results? The constrained implant increases the width of the post on the poly to partially or Results: Total knee arthroplasty (TKA) remains the gold standard for end-stage knee osteoarthritis. Touzopoulos P, Drosos GI, Ververidis A, Kazakos K. J Bone Jt Infect. 1. The researchers are continuously concentrating on the development and improvement of products based on the practical situation of manufacture. Today, we can comprehend the application of the constrained condylar knee joint prosthesis (CCK) in knee revision through several cases. Surgeons around the world have documented excellent Optetrak results. Our products cover from the cervical vertebrae to thoracolumbar spine and anterior and posterior approaches are both available. Revision total knee arthroplasty with a cemented posterior stabilized, condylar constrained or fully constrained prosthesis: a minimum 2-year follow-up analysis. Today, there are millions of patients suffering from orthopedic diseases around the world. 3 Fuchs et al19 found no significant differences in terms of Hospital for Special Surgery Score, Knee Society Score (KSS), Pain and the Tegner Score in their retrospective cohort study. | A CCK “contrained condylar knee” (the POST is wider and therefore has greater congruence with the CAM, thus limiting coronal motion) is used. Our customized joints are leading the way in China. Onetouch SURGICAL TECHNIQUE 1. This site needs JavaScript to work properly. Tel. | TIBIAL TIME (I) 2. We have been using the posterior stabilized (PS), condylar constrained knee (CCK) implant, and rotating hinge (RH) revision TKA implants concurrently at our institution. The Evolution® Revision Knee System Built on a 20 year, clinically-established heritage of patient satisfaction and survivorship. If the collateral ligaments are absent, or incompetent, a hinged prosthesis is required. Twenty-two patients received a hinged-type prosthetic device (18 Zimmer RHK, four Stryker RHK) and 18 patients received a less constrained condylar type prosthetic device (17 Legion CCK, one Vanguard CCK). Genutech CCK-Revisions-Knieprothesensystem Das Genutech® CCK-Revisions-Kniesystem ist ein Zwangssystem, das für Patienten mit mangelhafter Prothesenstabilisierung aufgrund einer unzureichenden Funktion sowohl der mediolateralen als auch der anteroposterioren Bänder sowie einer Varus-/Valgus-Instabilität vorgesehen ist. Erste Erfahrungen mit der LCCK Knie Prothese - German Medical. Purpose: Optetrak ® Revision System The Optetrak ® constrained condylar implant and specialized instrumentation system allow for restoration, flexibility, stability and simplicity for revision total knee replacement. FOIA The results of revision TKA for idiopathic arthrofibrosis and stiffening are however less favorable. 2015 Jun;101(4):449-54. doi: 10.1016/j.otsr.2015.01.020. Cochrane Database Syst Rev. cruciate retaining) BCR (bicruciate retaining) Subtyp I I fixed bearing mobile bearing Stem FE Stem TI Zusatzkomponenten I I unzementiert zementiert Charnley Klasse IA IB IBBIC Iunbekannt/ nicht dokumentiert A = unilat. 2 QUILLES PRESS-FIT Diamètres de 10 à 24mm en incréments de 1mm Longueurs de 100 et 150mm INSERT TIBIAL CCK Épaisseurs de 10, 12, 14, 17, 20, 22, et 24mm CALES FÉMORALES Distales et postérieures Épaisseurs de 4, 8, et Case 1: revision due to infection (most common) At one stage, the prosthesis was removed and antibiotic bone cement was used to control the infection. Our company has accumulated rich experience in product development. Various CCK systems are available 15. We have built a modern factory in the Golden Triangle Industry Zone of Tongzhou District. Privacy Policy Arthrofibrosis; CCK prosthesis; Hinged prosthesis; Revision total knee arthroplasty. 2020 Jun 12;5(4):184-186. doi: 10.7150/jbji.47622. CCK constrained condylar knee SC / CCK semi-constrained PS (posterior stabilized) CS (cruciate sacrificing) / UCOR PCR (post. It has been the authors' impression that the poor results in arthrofibrosis could be in part related to the use of traditional PS or CCK-type revision implants. Joint Replacement - Shaarani Group. Zimmer - HiDzine. Revision total knee arthroplasty with a cemented posterior stabilized, condylar constrained or fully constrained prosthesis: a minimum 2-year follow-up analysis. Preoperative data were similar for RHK as CCK-type implants except for knee pain score, which was significantly worse for the RHK group (36 vs 44, p = 0.049). The Evolution ® revision knee system is built on a 20- year clinical heritage of patient satisfaction and survivorship. Epub 2010 May 4. The hinged knee prosthesis is associated with a higher rate of failure, in particular in the younger and more active patients. Moreover, there are no similar products with the same structure. HCP ContentPosted April 19, 2011 in Surgical Techniques. | Showroom Revision TKA is a successful Keywords: In some cases, surgical exposure requires the use of extensile exposure techniques. The Genutech® CCK total knee revision system, designed and developed by Surgival, includes the latest technological and biomechanical advances in anthropometry applied to the kinematics and dynamics of the knee joint which, combined with the control and maintenance system of the interline which it incorporates, provides the surgeon with one of the most complete, innovative and distinctive solutions … Our company has been cooperating with many hospitals and national research institutes, such as Peking University People's Hospital, Peking Union Medical College Hospital, West China Hospital of Sichuan University and Shanghai Tongji Hospital, developing lots of products that benefit the patients tremendously. Our company has got the registration certificates of hip, knee, shoulder and elbow joints. 浙公网安备 33010002000092号 Knee system solutions to address clinical challenges in primary and revision total knee replacement. Mobile bearing vs fixed bearing prostheses for posterior cruciate retaining total knee arthroplasty for postoperative functional status in patients with osteoarthritis and rheumatoid arthritis. Some femoral component prosthesis designs are not compatible with a constrained condylar knee (CCK) insert and will require revision of … We commit ourselves to the development of our products and services and insist on the marketing concept of "make carefully and innovate continuously, just like we ourselves use the products". A constrained implant (ie CCK: "constrained condylar knee") can be used when the soft tissue alone cannot provide enough stability to the knee. CCK designs are used in cases of valgus–varus instability and/or increased flexion gap laxity 2., 5., 8., 12.. CCK is a derivative of the total condylar knee prosthesis (TCP) III design, and has itself been further developed into the Unable to load your collection due to an error, Unable to load your delegates due to an error. There is debate in the literature whether rotating hinge knee (RHK) or constrained condylar knee (CCK) prostheses lead to better clinical outcomes and survival rates in patients undergoing revision total knee arthroplasty (RTKA). Zimmer® Trabecular Metal™ Total Ankle Patient Results. 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. Epub 2019 Jun 18. In our factory, we have a R&D team and high-tech labs. Lazada, Browse Alphabetically: The fracture was initially reduced and fixed with a locking plate. | 03-6402-6600（代表） Fax. Revision Total Knee Arthroplasty using NexGen® LCCK with Allograft. Implants have evolved to provide systems with increasing levels of constraint, and constrained implants available include the non-linked constrained condylar knee (CCK) and the linked rotating hinge knee (RHK) … 2015 Feb 4;(2):CD003130. Constrained Implants in Total Knee Replacement. We are now preparing to promote new spine products to benefit more patients. There is debate in the literature whether rotating hinge knee (RHK) or constrained condylar knee (CCK) prostheses lead to better clinical outcomes and survival rates in patients undergoing revision total knee arthroplasty (RTKA). Revision knee system highly modular with maximum stability and congruence. There is debate in the literature whether rotating hinge knee (RHK) or constrained condylar knee (CCK) prostheses lead to better clinical outcomes and survival rates in patients undergoing revision total knee arthroplasty (RTKA). Retrospectively, 40 patients with the defined range of knee motion were identified. | Country Search The decision to use a posterior stabilized (PS) or constrained condylar knee (CCK) articulation in revision total knee arthroplasty (RTKA) has traditionally been based on surgeon preference and knee stability. The components are designed for use in primary and revision surgery, where the posterior cruciate ligament and one or both of the collateral ligaments ii.e. There is debate in the literature whether rotating hinge knee (RHK) or constrained condylar knee (CCK) prostheses lead to better clinical outcomes and survival rates in patients undergoing revision total knee arthroplasty (RTKA). Defektrekonstruktion beim Knieendoprothesenwechsel mit Tantal. 03-6402-6620 https://www.zimmerbiomet.com/ja. The causes of arthrofibrosis after total knee arthroplasty are multifactorial. Clipboard, Search History, and several other advanced features are temporarily unavailable. POSTGRAD ORTH Deiary Kader Contrained Condylar Knee (CCK) Systems CCK often used in revision TKA Fixes the prosthesis at epiphysis and diaphysis The choice of revision implants is primarily based on – Soft tissue integrity – Bone stock. Conclusion: 営業拠点：札幌、仙台、高崎、千 … 1 1688.com Careers. Request PDF | Hinged versus CCK revision arthroplasty for the stiff total knee | Background Total knee arthroplasty (TKA) remains the gold standard for end-stage knee osteoarthritis. Beijing Chunlizhengda Medical Instruments Co., Ltd., established in 1998, is an industrial enterprise which integrates the research, development, manufacture and distribution of high-quality surgical implants and instruments. Patients with underlying mechanical malalignment, component malposition, soft-tissue imbalance or infections were excluded. Revision knee system highly modular with maximum stability and congruence. We have advanced manufacturing technology and national distribution network. The purpose of this meta-analysis is to compare the survivorship and clinical outcomes of RHK and CCK prostheses. Get the Super Simple App for iOS! Our data show that revision arthroplasty of the stiff knee using a rotating hinged device can provide excellent results in selected cases. In cases in which collateral ligaments were intact and functional, providing valgus-varus stability, a PS implant would be used. eCollection 2019 Oct. Primary constrained and hinged total knee arthroplasty: 2- and 5-year revision risk compared with unconstrained total knee arthroplasty: a report on 401 cases from the Norwegian Arthroplasty Register 1994-2017. For product pricing, customization, or other inquiries: Beijing Chunlizhengda Medical Instruments Co., Ltd. Hwang SC(1), Kong JY, Nam DC, Kim DH, Park HB, Jeong ST, Cho SH. REVISION KNEE SYSTEM. The purpose of this study is to compare various outcomes and survivorship in RTKA with PS or CCK articulations. The building area reaches 3000 square meters and there are more than 200 workers. 8600 Rockville Pike Fax. BACKGROUND: The clinical and radiological outcomes of revision total knee arthroplasty with a cemented posterior stabilized (PS), condylar constrained knee (CCK) or a fully constrained rotating hinge knee (RHK) prosthesis were evaluated. Hwang SC, Kong JY, Nam DC, Kim DH, Park HB, Jeong ST, Cho SH. It is the only revision knee system that maintains the kinematic benefits of a medial-pivot design, while also offering surgeons intra-operative flexibility to meet all patient needs. With revision surgery, some or all of the existing prosthetics that were placed there during the original surgery will be replaced, which makes the procedure more complex than the first. A graph shows trends in the incidence of revision TKA at our institution using rotating hinge (RH), condylar constrained knee (CCK), and posterior stabilized (PS) implants. The major drawback of a CCK is that the increase in constraint results in increased forces, directly transferred to the component-cement-bone interface. Knee revision surgery differs from total knee replacement surgery. COVID-19 is an emerging, rapidly evolving situation. CCK successfully appealed to the Court of Appeals for Veterans Claims the Board decision that denied an increased rating for the Veteran’s right knee condition. 31 Dec 2008 revision total knee arthroplasty (TKA) using Nexgen® LCCK (Legacy® knee constrained condylar knee, Zimmer, Warsaw, … At two years of follow-up, compared to CCK, the RHK group demonstrated significantly better postoperative results for knee function scores (68.9 vs 54.2, p = 0.0015), knee function improvement (22.8 vs 4.8, p = 0.0015), knee pain improvement (26.4 vs 9.4, p = 0.0050), greater maximal flexion (99.9° vs 81.4°, p = 0.0005), better maximal extension (-1.9° vs -6.2°, p = 0.0447), greater flexion gain (35.8° vs 14.2°, p = 0.0002), and greater extension gain (8.6° vs 2.0°, p = 0.0083). SURGICAL TECHNIQUE 1. The prevalence of stiffness after this procedure described in literature varies from 1.3% to 5.3%. Zimmer® NexGen® Legacy® Constrained Condylar Knee. At present, our company focuses on the joint prostheses and spine systems. Our Products. Dr. Donald Knapke performs a total knee revision, featuring the Evolution® Revision System, and discusses the indications and benefits of the Evolution® Stemmed CS Revision system, which combines all of the essential components of a revision system without the need to cut a box with the added benefits of maintaining the kinematics and stability of a medial-pivot knee design. CCK argued that the Board misinterpreted diagnostic code 5257 when it denied a separate rating for instability based on a lack of objective medical evidence. It is the only revision knee system that eliminates box resection while maintaining the proven kinematic benefits of a medial-pivot design and offering surgeons intraoperative flexibility to meet all patient needs. 浙B2-20120091. doi: 10.1002/14651858.CD003130.pub3. Femoral revision requires sufficient bone stock and functional collateral ligament integrity. medial collateral and/or lateral collateral ligament) are absent or incompetent. Although we have several spine products putting into the market, we never stop being better. CCK and CS FEMORAL IMPLANT • Sizes 3-8 • 35mm trunnion height Choose the revision option that works for your patient FEMORAL AUGMENTS • Distal and posterior • 4, 8, and 12mm thicknesses. 1 Constraint For patients who lack functional collateral ligaments or whose knees cannot be stabilized by the usual tissue releases, the LCCK features an elevated tibial spine and deeper femoral intercondylar box. The LEGION™ Revision Knee System has been designed to offer the orthopaedic surgeon improved options to deal with the complexities associated with revision knee arthroplasty, while providing them in a manner that is relatively simple to execute. Isolated tibial revision without femoral revision is performed when the femoral component is stable and properly aligned with intact collateral ligaments. Our hypothesis is that better results can be achieved in case a rotating hinge design (RHK) is used. Genutech® CCK total knee revision system. http://apple.co/2nW5hPdHello Hello to everyone visiting from Leo Messi's Instagram post . Cck Revision Knee Joint Prosthesis/with 3d Printing Cone/revision Block , Find Complete Details about Cck Revision Knee Joint Prosthesis/with 3d Printing Cone/revision Block,Cck Revision Knee Joint Prosthesis,3d Printing Cone/revision Block,High Quality from Implants & Interventional Materials Supplier or Manufacturer-Beijing Chunlizhengda Medical Instruments Co., Ltd. Built on a 20 year, clinically-established heritage of patient satisfaction and survivorship. 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. | Affiliate, Product Listing Policy Hofstede SN, Nouta KA, Jacobs W, van Hooff ML, Wymenga AB, Pijls BG, Nelissen RG, Marang-van de Mheen PJ. REVISION KNEE SYSTEM. Please enable it to take advantage of the complete set of features! Prevention and treatment information (HHS). The Revision Knee Components are for single use only and are intended for implantation with bone cement. The stiff total knee arthroplasty: causes, treatment modalities and results. Fig. The prevalence of stiffness after this procedure described in literature varies from 1.3% to 5.3%. Based on these results, we recommend the use of a rotating hinged device for revision arthroplasty in the selected cases. Preoperative data were similar for RHK as CCK-type implants except for knee pain score, which was significantly worse for the RHK group (36 vs 44, p = 0.049). Revision TKA is a successful procedure when performed for loosening, instability, mechanical implant failure, or infection. - The role of rotating hinge implants in revision total knee . Revision TKA is a successful procedure when performed for loosening, instability, mechanical implant failure, or infection. Our products have been highly recognized and widely applied by more and more doctors and patients. It is the only revision knee system that maintains the proven kinematic benefits of a medial-pivot design Most CCK implants require a larger box cut to accommodate the wider post and thus implant revision is needed. The tibial component should be examined for fixation stability and proper alignment during surgery and addressed if necessary. Intellectual Property Protection Share on Social … The reason could be that RHK designs allow for much more aggressive capsuloligament debridement and therefore more adequate fibrosis removal, while securing optimal implant stability, tibiofemoral rotational freedom, and flexion-extension space stability. National Library of Medicine There is an easy conversion to the Legion Hinge (see Legion Hinge TKR) Login. The causes of arthrofibrosis after total knee arthroplasty are multifactorial. Taobao Global - User Information Legal Enquiry Guide, © 1999-2021 Alibaba.com. Standard condylar revision implants yielded better post- 2019 Oct;90(5):467-472. doi: 10.1080/17453674.2019.1627638. erkrankt, Gegenseite gesund B = bilat. All rights reserved. Lavernia et al. 2. The advancements in the Optetrak Logic ® system has been driven by the goal of improving clinical outcomes, all while maintaining the patented design and proprietary materials that have been proven over the years. Knee system solutions to address clinical challenges in primary and revision total knee replacement. 2010 Jun;2(2):112-20. doi: 10.4055/cios.2010.2.2.112. 2019 Oct 7;4(10):602-610. doi: 10.1302/2058-5241.4.180105. Extensor mechanism reconstruction in the setting of infected total knee arthroplasty. The average amount of time supplier took to respond to every buyer’s first message over the past 30 days. Revision Surgical Technique with the Trabecular Metal™ Cone Augment. Clinical Orthopaedics and Related Research1 123. is as follows. TIBIAL TIME (I) 2 1.1 Intramedullary fixation 2 1.2 Assembly and fitting of the tibial cutting guide 4 1.3 Tibial resection 7 1.4 Measuring of the tibial tray 8 1.5 Measuring of the interline 9 2. Our spine systems have several patents and reduce the risk of spine surgeries. Revision total knee arthroplasty presents numerous technical challenges and decisions for the operating surgeon. A particular benefit of this system is the ease of conversion to the Legion Rotating Hinge Knee (RHK). Terms of Use Patient. Alibaba.com Site: International - Español - Português - Deutsch - Français - Italiano - हिंदी - Pусский - 한국어 - 日本語 - اللغة العربية - ภาษาไทย - Türk - Nederlands - tiếng Việt - Indonesian - עברית, AliExpress The purpose of this meta-analysis is to compare the survivorship and clinical outcomes of RHK and CCK prostheses. improve knee function. > CCK® Advance revision system Revision knee system widely versatile to cover all surgeon and patient necessities. This section focuses on the principles of revision total knee arthroplasty using a medial-lateral constrained implant system or a constrained condylar knee (CCK) system. The causes of arthrofibrosis after total knee arthroplasty are multifactorial. The end goal of the procedure is the same as the original surgery, which is to improve overall function and reduce or relieve pain. Revision total knee arthroplasty (TKA) is often complicated by bone loss and ligament instability, and surgical decisions regarding implant type must be based on these factors. The Zimmer Biomet NexGen LCCK System offers a reported survivorship of 96% at 10+ years when used for revision TKA. Copyright © 2018 Elsevier B.V. All rights reserved. Related. The purpose of our study was to investigate in our database whether this hypothesis is correct. Epub 2015 May 4. Preoperative planning includes critically reviewing radiographs and ordering necessary equipment, including prosthetic components, extraction devices, and bone graft materials. Surgical Technique Genutech®CCK total knee revision system. - 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. Every attempt was made to incorporate any previous incisional scar. GMK KNEE REVISION SYSTEM 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 severe ligament instability or massive bone defects. Table 1 Indications for revision TKA in our cohort As previously described by Windsor and Insall [31], extensive skin incision was performed in all cases. Bethesda, MD 20894, Copyright Learn the Revision total Knee Replacement- Legion Rotating Hinge Knee ( Smith and Nephew) surgical technique with step by step instructions on OrthOracle. With your trust and help, we will offer the world a better tomorrow, for you and for all of us. Background: To date, this is the first study to describe the difference in outcome between revision total knee arthroplasty for idiopathic arthrofibrosis using a hinged or a constrained condylar knee device. Long-term outcomes of primary constrained condylar knee arthroplasty. カスタマーサービス（商品のご注文）. Key elements in revision knee Cholewinski P, Putman S, Vasseur L, Migaud H, Duhamel A, Behal H, Pasquier G. Orthop Traumatol Surg Res.
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