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…
Preoperative Evaluation, Planning, and Templating for Revision Total Knee Arthroplasty
Preoperative Evaluation, Planning, and Templating for Revision Total Knee Arthroplasty Timothy S. Brown Daniel J. Berry Preoperative Evaluation Establish a clear diagnosis. Understand what has failed and what you are…
Previous High Tibial Osteotomy
Previous High Tibial Osteotomy Brian P. Chalmers Tad M. Mabry Key Concepts Total knee arthroplasty (TKA) after high tibial osteotomy (HTO) is made challenging by prior skin incisions, patella baja,…
Flexion Contracture
Flexion Contracture Stephen M. Petis Matthew P. Abdel Key Concepts Flexion contractures are not uncommon before total knee arthroplasty (TKA), occurring in patients with varus and valgus gonarthrosis. A flexion…
