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…
© Springer International Publishing Switzerland 2015Michael T. Hirschmann and Roland Becker (eds.)The Unhappy Total Knee Replacement10.1007/978-3-319-08099-4_33 27 Diagnosis of Periprosthetic Joint Infection After Total Knee Replacement Ajay Aggarwal1 and Javad Parvizi2 (1) Department of Orthopaedic Surgery,…
Study Test Sensitivity (%) Specificity (%) PPV (%) NPV (%) Accuracy (%) Della Valle et al. [5] ESR 90.2 66.0 67.3 89.7 76.6 CRP 95.1 75.5 75.0 95.2 84.0 Greidanus…
Sensory changes Spontaneous pain Mechanical hyperalgesia Thermal hyperalgesia Deep somatic hyperalgesia Vascular-related changes Vasodilatation Vasoconstriction Difference in skin temperature Changes in skin color Edema, hyperhidrosis Swelling Hyperhidrosis Hypohidrosis Motor function…
Implant alloys Metal Approximate (%) 316 L stainless steel Nickel 8.3–35 Chromium 20 Manganese 2 Molybdenum 2–3 Nitrogen 0.1 Carbon 0.03 Sulfur 0.03 Silicon 0.75 Phosphorus 0.045 Iron Balance Cobalt-chromium-molybdenum…
Type Onset Definition Treatment 1 Positive intraoperative culture Two or more positive intraoperativecultures Antibiotics 2 Acute postoperativeinfection Infection less than 4 weekspostoperatively Debridement with component retention and antibiotics 3 Acute…
