Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Total Knee Arthroplasty (TKA) — Implant Designs

Implants classified by degree of constraint: CR (least) → PS → CCK → Hinged (most). CR retains PCL; PS substitutes with cam-post. Constrained implants indicated for instability or major deformity. Mobile-bearing vs fixed-bearing — theoretical wear reduction, but long-term benefit unclear. Principle: use minimum constraint required.

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Implants classified by degree of constraint: CR (least) → PS → CCK → Hinged (most). CR retains PCL; PS substitutes with cam-post. Constrained implants indicated for instability or major deformity. Mobile-bearing vs fixed-bearing — theoretical wear reduction, but long-term benefit unclear. Principle: use minimum constraint required.
MCQs

High-yield practice questions

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Question 1

Which type of total knee arthroplasty (TKA) implant retains the posterior cruciate ligament (PCL)?

Question 2

What is the primary indication for total knee arthroplasty (TKA)?

Question 3

What is the main advantage of a rotating platform (mobile-bearing) TKA implant?

Question 4

In which situation is a constrained condylar (CCK) implant typically indicated?

Question 5

What is the recommended principle for selecting TKA implants regarding constraint?

Question 6

Which alignment strategy in TKA focuses on replicating the native pre-arthritic joint line?

Question 7

What is the typical 10-year survivorship for well-fixed, well-aligned TKA implants?

Question 8

What is the primary role of the central tibial post in a posterior-stabilised (PS) TKA implant?

Question 9

Which of the following is an absolute contraindication for total knee arthroplasty?

Question 10

What scoring system is commonly used in the UK to evaluate outcomes of TKA?