Use of Stems in Revision Total Knee Replacement
Fig. 49.1 (a) Anteroposterior and (b) lateral radiographs of fully cemented stems used for revision TKR Fig. 49.2 (a) Anteroposterior and (b) lateral radiographs of a revision TKR using a…
Intraoperative Landmarks in Revision Surgery
Femur Plane Landmark Alignment Femoral bone Coronal and sagittal plane Intramedullary canal Varus/valgus alignment, flexion, and extension Distal femoral condylar line Coronal plane Distal medial and lateral femoral condyle Varus/valgus…
What Do Radiographs Tell Us?
AP view Lateral view Skyline view Implant size, positioning, and alignment (coronal) ++ Implant size, positioning, and alignment (sagittal) +++ Implant size, positioning, and alignment (patella) ++ ++ Joint…
Complications After Revision TKR
Fig. 51.1 A 52-year-old woman was treated with two-stage revision TKR for management of a chronically infected primary TKR. The patient developed severe end stem tibial pain. A prior tibial…
A Diagnostic Algorithm for Patients with Painful Total Knee Replacement: What to Do When
Fig. 34.1 A detailed history and thorough clinical examination to differentiate and identify the different causes for recurrent or persistent problems after TKR Fig. 34.2 Proposed diagnostic algorithm for patients…
Discussion to Chap. 63: Desarthrodesis to a Total Knee Replacement: A Complication-Prone Procedure!
Fig. 1 Preoperative long-leg radiograph showed an arthrodesis with a long custom-made intramedullary nail (T2 Nail™ Stryker, Zimmer, Germany) Fig. 2 Photograph showing a soft tissue expander type (Mentor Expander®,…
Fluoroscopy and Stress Radiographs Diagnosing Instability in Patients After Total Knee Replacement
Fig. 32.1 Images demonstrating mechanical anterior stress radiographs using a Telos® device. The knee joint is flexed in 90°. The foot is placed in a shoe-like construct, which is fixed…
The Knee Arthroplasty Endgame: Four Options in the Face of Calamity
Fig. 63.1 Accurate surgical planning requires a systematic and comprehensive diagnostic approach. This worksheet embodies one such approach. The eight possible diagnoses that lead to revision surgery are listed in…
Navigated Revision Total Knee Replacement
Fig. 61.1 Sensorized surgical tools, used for RTKR navigated surgical procedure: (a) reference arrays to be fixed on the femur and on the tibia to allow the tracking of the…
Osteotomy of the Tibial Tubercle in Total Knee Replacement Revision Surgery
Fig. 57.1 Indication for tibial tubercle osteotomy for patellofemoral correction or to achieve sufficient access to the anterolateral aspect of the knee Especially in revision surgery, when the patellar mobility…
