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Total Knee Replacements
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Smiles™ Rotating Knee Hinge

The SMILES™ rotating knee hinge is an effective solution for the revision of a primary knee replacement where serious bone loss and/or knee instability is present. The SMILES™ rotating knee hinge was developed in 1990. This rotating hinge has proved to be ideal for some of the most complex revision cases we have tackled. In addition, this rotating hinge has been used extensively with our bone tumour replacements.

There are many advantages to this knee:
Optimal knee biomechanics - wide patella surface with a shallow groove maintains anatomic patella tracking
Precision made - intra medullary stem length, diameter, curvature and angulation are determined from bi-planar radiographs
Bevelled bearing surfaces constrain the rotational movement beyond ±5°
Metal tibial casing designed for individual needs
Ability to reconstruct tibial bone loss by using customised plateau plates
Prolonged life of the axle bushes by using a hyperextension bumper pad as a secondary bearing surface

Key Benefits
Stability of the joint without resorting to a fully constrained knee hinge
Minimises the number of modular components thus reducing fretting
Customisation improves stress transfer to the remaining bone stock
Contoured metal-on-plastic bearing surfaces to reduce friction and wear
Rotational laxity reduces torsional stress at the cement/bone interface

 


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