Two-Stage Revision
Articulating Spacer in Two-Stage Revisions Jacob T. Munro, MBChB, FRACS Bassam A. Masri, MD, FRCSC Donald S. Garbuz, MD, MHSc, FRCSC Nelson V. Greidanus, MD, MPH, FRCSC CASE STUDY A 65-year-old man presented to…
Periprosthetic Fractures
Classification of Periprosthetic Femur Fractures Occurring With Total Knee Arthroplasty Matthew P. Abdel, MD Rafael J. Sierra, MD Introduction By 2030, the demand for primary total knee arthroplasties (TKAs) is expected to…
Periprosthetic Fractures Associated With Total Knee Arthroplasty
CASE STUDY A 66-year-old woman underwent a primary total knee arthroplasty for advanced osteoarthritis of her right knee. Four years after the index arthroplasty, she sustained a closed, displaced, comminuted,…
Irrigation and Débridement With Component Retention for Acute Periprosthetic Total Knee Arthroplasty Infections
CASE STUDY A healthy, 65-year-old woman presented to the emergency room with complaints of increased right knee redness, warmth, swelling, and pain 3 weeks after undergoing a primary right total…
Prosthetic Augmentation
Metaphyseal Fixation Adam A. Sassoon, MD Arlen D. Hanssen, MD Introduction Management of severe bone loss is one of many challenges during revision total knee arthroplasty (TKA). The restoration of a metaphyseal…
One-Stage Revision
CASE STUDY Case 1 A 72-year-old woman underwent a total knee arthroplasty (TKA) for primary osteoarthritis that was revised to a hinged TKA 12 years later because of loosening. Twelve…
Bone Graft
Impaction Bone Grafting Leo A. Whiteside, MD Chapter Preview Chapter Synopsis Repair and reconstruction of a failed total knee arthroplasty (TKA) should begin with a plan that includes conservative treatment of…
Patellar Component Loosening
CASE STUDY A 57-year-old man with a medical history of hypertension and hyperlipidemia presented to our clinic for consultation. He had undergone right total knee arthroplasty 3 years earlier at…
Classification and Treatment of Patella Fractures
Algorithm The following is a classification scheme and treatment algorithm for periprosthetic patella fractures: Chapter Preview Periprosthetic patella fractures are a rare complication after primary total knee arthroplasty. The cause…
Patella Instability
CASE STUDY A 55-year-old woman presented to the office with persistent anterior knee pain and swelling after a revision total knee arthroplasty (TKA) performed 1 year earlier. She reported some…
