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Does anyone have a hinged knee replacement?

Joint Replacements | Last Active: 8 hours ago | Replies (27)

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Profile picture for musulunga @musulunga

@cookiemom I felt vindicated after reading your post because I, also, have had a hinged knee replacement that causes my knee to buckle and collapse. My husband and everyone else, including my surgeon, have claimed I'm not doing my therapy hard enough to strengthen my muscles. I don't think I or anyone would be capable of strengthening the knee muscles enough to overcome the mechanical collapse of the prosthesis.
You state you have learned cautions in order to avoid falls but I have not been able to predict what causes my knee to collapse. It happens suddenly and without warning which makes it impossible to predict or preempt. It doesn't happen every day; sometimes it doesn't happen for two or three weeks at a time and then it catches me unawares and happens once again. A cane, which everyone insists I carry, will not prevent the collapse; it will just fly out of my hand when it happens. My leg, below the knee, also splays out as I walk.
I would appreciate any insight you can provide. Do you think all hinged knee prostheses behave in a similar manner or did I get a particular brand that is more prone to collapsing?. My surgeon isists he is not aware of anything and he says there hasn't been a recall.
Needless to say, this has dramatically affected my life and activities. I think twice before I even cross a room. It's hard to accept that there is no solution.
Thank you for any advise or insight you can provide.

Marina Villalobos

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Replies to "@cookiemom I felt vindicated after reading your post because I, also, have had a hinged knee..."

@musulunga
Thanks for your post.

I had my TKR 12/23 and it was never right. Chronic pain (mostly lateral side), effusion, not able to walk downstairs, basically a disaster that has adversely affected my quality of life.

The diagnosis is mid flexion instability. There is an extension/ flexion gap between the femoral and tibial implants which is causing the instability and pain.

In July 2025 I had a partial revision to replace the polyethylene insert to correc the gap which did not help.

I am having a full revision on April 28. The surgeon will try replacing the femoral component to 'fix' the gap. If this is not possible he will install a DePuy hinged implant. I am not looking forward to this procedure but I am desparate after 2.25 years.
You did not mention the hinged implant you have.

I have a surgeon I trust now and can only hope for the best.

Best to you.

@musulunga What happens when it collapses? Does it wobble around? Is your knee swollen? Have you gotten a second or third opinion? If not, I'd try visiting another knee replacement specialist that's associated with another hospital. Make sure that the surgeon has a lot of experience or even specializes in knee replacement revisions.