case_images: PMC11823838_01
case_images: PMC11823838_02
case_images: Pre-operative X-ray.
case_images: JOCR-15-198-g001.jpg
case_images: PMC11823838_02_JOCR-15-198-g001.jpg
case_images: F1
case_images: Pre-operative X-ray showed long stem revision TKR prosthesis with hinje breakage and varus instability (Fig. 1).
case_images: Intraoperative metallosis.
case_images: JOCR-15-198-g002.jpg
case_images: PMC11823838_02_JOCR-15-198-g002.jpg
case_images: F2
case_images: Extensive metallosis was present throughout the joint (Fig. 2).
case_images: Steps of removing version 01.
case_images: JOCR-15-198-g003.jpg
case_images: PMC11823838_02_JOCR-15-198-g003.jpg
case_images: F3
case_images: Steps of femoving the components of version 01 were obtained from the company (Fig. 3).
case_images: Intraop pictures; (a) Tibial screw removal; (b) Tibial insert removal; (c) Retaining pin removal; (d) Rotating Bush extraction; (e) Lateral femoral window creation; (f) Lateral retaining poly removal; (g) Axis removal; (h) T axis removal; (i) Bearings removal; (j) Cement mantle interposition; (k) Extracted hinge components versus new components.
case_images: JOCR-15-198-g004.jpg
case_images: PMC11823838_02_JOCR-15-198-g004.jpg
case_images: F4
case_images: Multiple sequential intraoperative steps of removal of version 01 were demonstrated below (Fig. 4a-k).
case_images: PMC11823838_03
case_images: Steps of assembling version 02.
case_images: JOCR-15-198-g005.jpg
case_images: PMC11823838_03_JOCR-15-198-g005.jpg
case_images: F5
case_images: The steps of assembling version 2 are shown in Fig. 5.
case_images: Intraoperative pictures; (a) Bearings insertion; (b) Axis and T axis insertion; (c) Lateral poly insertion; (d) Knee components reduction; (e) Tibial insert insertion and screw tightening.
case_images: JOCR-15-198-g006.jpg
case_images: PMC11823838_03_JOCR-15-198-g006.jpg
case_images: F6
case_images: Multiple sequential intraoperative steps of assembling version 02 were demonstrated from Fig. 6a-e.
case_images: Post op X-ray.
case_images: JOCR-15-198-g007.jpg
case_images: PMC11823838_03_JOCR-15-198-g007.jpg
case_images: F7
case_images: The patient was mobilized the next day following the check X-ray with full weight-bearingwalker support and was discharged after 2 weeks after suture removal (Fig. 7).
case_images: One year follow up X-ray.
case_images: JOCR-15-198-g008.jpg
case_images: PMC11823838_03_JOCR-15-198-g008.jpg
case_images: F8
case_images: The patient was under regular visit and no pain or implant loosening and have good functional ROM during 1-year follow-up (Fig. 8 and 9).
case_images: Functional outcome at 1 year.
case_images: JOCR-15-198-g009.jpg
case_images: PMC11823838_03_JOCR-15-198-g009.jpg
case_images: F9
case_images: The patient was under regular visit and no pain or implant loosening and have good functional ROM during 1-year follow-up (Fig. 8 and 9).