Prosthetic Augmentation

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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One-Stage Revision

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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Bone Graft

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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Patellar Component Loosening

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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Classification and Treatment of Patella Fractures

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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Patella Instability

May 29, 2019 by in ORTHOPEDIC Comments Off on 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…

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Overview of the Microbiology

May 29, 2019 by in ORTHOPEDIC Comments Off on Overview of the Microbiology

Introduction In his 1920 commentary in the British Journal of Surgery , Lord Berkeley Moynihan commented, “Every operation in surgery is an experiment in bacteriology.” What the renowned surgeon was…

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Patellar Bone Loss

May 29, 2019 by in ORTHOPEDIC Comments Off on Patellar Bone Loss

Patellar Bone Grafting Michael J. Taunton, MD Arlen D. Hanssen, MD CASE STUDY Case 1 An 80-year-old woman presented 14 years after a primary total knee arthroplasty (TKA) with failure due to…

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