Patients’ main symptom Good indication for revision surgery Acceptable indication for revision surgery Poor indication for revision surgery Pain Infection Soft tissue entrapment Complex regional pain syndrome (CRPS) Malposition and…
Fig. 35.1 WHO pain ladder 35.2.1 Infection The treatment choice for each patient depends on a number of variables including whether the infection is superficial or deep, the time since…
Fig. 23.1 Arthroscopic view of meniscus remnant impinging between the femoral implant and the inlay With the development of mobile bearing inlays, fat pad impingements were reported, for example, in…
Fig. 1.1 The femoral rollback can be simplified and described in a two-dimensional (2D) four-bar linkage system Knee kinematics can be characterised by a coupled internal rotation and roll-gliding motion…
Measured resection technique Flexion gap balanced technique Favored by 80 % of surgeons Favored by 20 % of surgeons Bone resection independent of ligaments Bone resection independent of bony landmarks…
Fig. 5.1 Intraoperative photograph demonstrating use of a femoral rotational alignment guide applied to the distal femur and aligned along the posterior condylar axis to assure three degrees of external…
Fig. 10.1 Photograph of a chronically exposed TKR in a subject with rheumatoid arthritis that failed multiple irrigation and debridements, extensor mechanism reconstructions, and a medial gastrocnemius flap 10.1 Important…
Fig. 6.1 Indication and surgical performance are major factors determining outcome after total knee replacement Fig. 6.2 Clinical example of a female patient with little tibiofemoral OA but with patellofemoral…
Fig. 1 Radiographs (anterior-posterior and lateral) of the right knee showed a posterior stabilised mobile-bearing TKR including primary resurfacing of the patella. The femoral component appeared to be rather large…
Although pain declined predictably after TKR, at 1 year, nearly one in eight patients still complained of significant (VAS >40 mm) pain [14] But do these patients with heightened pain…
