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All patients were implanted with a medial Zimmer Unicompartmental High Flex Knee System (Zimmer Inc, Warsaw, Ind).
Many implant suppliers are considering biomechanical aspects in their implant designs to provide theoretical advantages of a high flex design and achieve clinical improvements.
It had the lowest NIR attenuation and second lowest X-ray attenuation as well as high flex modulus and tensile strength.
Considering the top three index surgeries most often leading to revision, knee prosthesis designed for higher flexion (high-flex knees, OPS 5-822.b) is of special interest: The findings presented support the findings of Hamilton et al. [ 19] that high flex knee prosthesis shows a higher risk of early loosening.
The Zimmer Unicompartmental High Flex Knee System™ (ZUK; Zimmer, Winterthur, Switzerland) is a fixed-bearing metal back UKA developed from the M/G Unicompartmental Knee System™ (Zimmer, Winterthur, Switzerland) [ 5] and can be implanted with a MIS approach (spacer-block technique).
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We found that subjects with less duration of symptoms, higher functional status (high FLEX-SF scores), and more tightness in posterior deltoid have higher possibility of being responsive to massage treatment.
Materials with higher flex moduli were more favorable in this regard.
This retrospective study of 208 (204 patients) total knee arthroplasties evaluated the incidence of patellar clunk syndrome for two high-flex posterior stabilized knee prostheses; a high-flex fixed bearing prosthesis and a high-flex mobile bearing prosthesis.
Our aim was to compare a successful medial UKA implant with its newer high-flex version.
In contrast with other recent studies we found a significant incidence of patellar clunk in high-flex mobile bearings.
Moreover, the advantage of high-flex implants for patients with high preoperative range remained not statistically significant and high-flex design in NexGen system showed a marginal improvement in the postoperative range of flexion.
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