• The Knee · Oct 2009

    Case Reports

    Spontaneous late dislocation of the high flexion tibial insert after Genesis II total knee arthroplasty. A case report.

    • S G M Rutten and R P A Janssen.
    • Maxima Medisch Centrum, Department of Orthopaedic Surgery and Traumatology, Veldhoven, The Netherlands. sgmrutten@hotmail.com
    • Knee. 2009 Oct 1;16(5):409-11.

    AbstractWe present the first case of late spontaneous dislocation of a high flexion polyethylene insert after Genesis II total knee arthroplasty. Dislocation of the fixed insert occurred at 14 months post surgery while walking down a steep aircraft staircase. The total knee arthroplasty had been uneventful till that moment. The clinical presentation, possible causes and management are discussed. A surgical error, failure to remove a posterior femoral osteophyte, seems the most probable cause for the late insert dislocation in our case.

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