Constrained Implants
Constrained Implants Kevin I. Perry Key Concepts Instability is equal to infection as the most common cause of revision in the first 5 years after total knee arthroplasty (TKA). Additionally,…
Bone Grafting Methods and Allograft Prosthetic Replacement
Bone Grafting Methods and Allograft Prosthetic Replacement Robert T. Trousdale Key Concepts Cancellous bone grafts and structural allografts remain an excellent choice for bone loss issues in selective cases during…
Metaphyseal Fixation: Sleeves and Cones
Metaphyseal Fixation: Sleeves and Cones Brian P. Chalmers David G. Lewallen Key Concepts Reestablish metaphyseal support for revision total knee arthroplasty (TKA) implants with ingrowth porous-metal metaphyseal cones or porous-coated…
Distal Femoral Replacement
Distal Femoral Replacement Graham D. Pallante Rafael J. Sierra Key Concepts Distal femoral replacement most commonly is used as a salvage procedure in revision total knee arthroplasty (TKA) involving severe…
Use of Stems: Cemented and Uncemented
Use of Stems: Cemented and Uncemented Graham D. Pallante Daniel J. Berry Key Concepts Stems are indicated in almost all revision total knee arthroplasty (TKA). Data show that routine use…
Implant Removal
Implant Removal Ashton H. Goldman Kevin I. Perry Key Concepts Bone preservation is critical to ensure host bone for uncemented metaphyseal fixation augmented with either uncemented or cemented diaphyseal fixation…
Extensile Exposures
Extensile Exposures Adam Hart Robert T. Trousdale Key Concepts Indications of a potentially difficult exposure (Figure 60.1) during revision surgery should be sought preoperatively by considering: The superficial exposure—Evaluation of…
Revision Total Knee Arthroplasty: Order of Attack
Revision Total Knee Arthroplasty: Order of Attack Mark W. Pagnano Key Concepts Having a coherent strategy in place before revision total knee arthroplasty (TKA) helps the surgeon order his or…
Extra-articular Deformity
Extra-articular Deformity Alan K. Sutak Matthew P. Abdel Key Concepts Deformities at the knee can either be intra-articular or extra-articular in nature. Extra-articular deformities can be on either the femoral…
Unicompartmental Knee Arthroplasty
Unicompartmental Knee Arthroplasty Rafael J. Sierra Mark W. Pagnano Key Concepts Medial unicompartmental arthroplasty (UKA) is a good option for those patients with isolated advanced medial compartment degenerative arthritis (best…
