Periprosthetic Fracture

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Periprosthetic Fracture

Periprosthetic Fracture Matthew W. Tetreault Brandon J. Yuan Matthew P. Abdel Key Concepts Periprosthetic fractures around the knee are relatively uncommon. Management considerations include fracture location and displacement, stability of…

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Extensor Mechanism Deficiency

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Extensor Mechanism Deficiency

Extensor Mechanism Deficiency Matthew P. Abdel Arlen D. Hanssen Key Concepts Extensor mechanism deficiency following total knee arthroplasty (TKA) can occur owing to disruption of the patellar tendon or the…

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Infection: Two-Stage Methods

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Infection: Two-Stage Methods

Infection: Two-Stage Methods Timothy S. Brown Kevin I. Perry Key Concepts Successful treatment of knee chronic periprosthetic infection begins with complete removal of implants, cement, and foreign material and includes…

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Patellar Bone Loss

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Patellar Bone Loss

Patellar Bone Loss Kevin I. Perry Arlen D. Hanssen Key Concepts The majority of patellar revisions are performed with standard or biconvex patellar components. Less than 10% of revision total…

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Patellar Instability

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Patellar Instability

Patellar Instability Timothy S. Brown Rafael J. Sierra Key Concepts Patellar instability is a common cause of anterior knee pain and stiffness following total knee arthroplasty (TKA). The most common…

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Knee Stiffness

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Knee Stiffness

Knee Stiffness Stephen M. Petis Mark W. Pagnano Key Concepts Stiffness after total knee arthroplasty (TKA) is a frustrating problem for patient and surgeon alike. Few patients with substantial limitation…

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Tibiofemoral Instability

Dec 14, 2019 by in ORTHOPEDIC Comments Off on Tibiofemoral Instability

Tibiofemoral Instability Timothy S. Brown Matthew P. Abdel Key Concepts Instability accounts for approximately 10 to 25% of revision total knee arthroplasties (TKAs). Types of tibiofemoral instability include: Sagittal (anteroposterior)…

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Constrained Implants

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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,…

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Metaphyseal Fixation: Sleeves and Cones

Dec 14, 2019 by in ORTHOPEDIC Comments Off on 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…

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