title: Spontaneous late dislocation of the high flexion tibial insert after Genesis II total knee arthroplasty. A case report.
abstract: We 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.
authors.affiliation: Maxima Medisch Centrum, Department of Orthopaedic Surgery and Traumatology, Veldhoven, The Netherlands. sgmrutten@hotmail.com
authors.forename: S G M
authors.initials: SG
authors.lastname: Rutten
authors.forename: R P A
authors.initials: RP
authors.lastname: Janssen
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D020370:Osteoarthritis, Knee / Q000601:surgery; D020959:Polyethylene; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation
chemical_list: D020959:Polyethylene