Lozano, Luis M.López, VicenteRíos, JoséPopescu, DragosTorner i Pifarré, PereCastillo, FélixMaculé Beneyto, Francisco2015-06-222015-06-222012-04-301537-744Xhttps://hdl.handle.net/2445/66004The Endo-Model rotating-hinge prosthesis is preferably indicated as a primary implant in patients with advanced axial deviation of the lower limbs or unstable knees with severe bone defects. Outcomes were studied in 111 knees, operated in a three-year period; the mean followup was 28 months. Joint balance enhancement and limbs mechanical axis correction were achieved after surgery. There were 6 deep infections and 16 patients referred postoperative anterior knee pain. WOMAC index scores disaggregated by gender and BMI showed better outcomes in obese patients (specifically, those with a BMI of 35<br>40 kg/m2) and in men. Although the lack of a control group did not allow definite conclusions and despite a nonnegligible complication rate, our results reveal that the Endo-Model total knee arthroplasty can be a useful tool to deal with severe and morbid obese patients affected of severe gonarthrosis associated with marked axial deviations, ligament instability, or bone defects.5 p.application/pdfengcc-by (c) Lozano,L. M. et al., 2012http://creativecommons.org/licenses/by/3.0/esArtroplàstiaGenollObesitat mòrbidaArthroplastyKneeMorbid obesityinfo:eu-repo/semantics/article6286632015-06-22info:eu-repo/semantics/openAccess22623889