Exposures for Revision Knee Arthroplasty
CASE STUDIES Case 1: Exposure With a Quadriceps Snip A 68-year-old woman underwent left total knee arthroplasty (TKA) for osteoarthritis 12 years ago. During the 2 years before presentation to…
ORTHOPEDIC
Implant Removal in Revision Total Knee Arthroplasty
Algorithm This algorithm presents the approach for implant removal in total knee arthroplasty. Chapter Preview Chapter Synopsis Implant extraction should be performed cautiously and with attention to avoiding iatrogenic damage….
Revising the Failed Unicompartmental Knee Arthroplasty
CASE STUDY In September 2008, a 72-year-old white woman underwent an Oxford mobile-bearing unicompartmental knee arthroplasty (UKA) (Biomet, Inc., Swindon, U.K.) for anteromedial tibiofemoral osteoarthritis to her left knee (…
Manipulation
CASE STUDY An active 59-year-old male patient with osteoarthritis of the right knee underwent total knee arthroplasty with a posterior-stabilized prosthesis. Preoperative range of motion (ROM) was 5 degrees of…
Nonrevision Surgery
CASE STUDY A 52-year-old white man presented with minimal pain but limited range of motion (ROM) after a total knee arthroplasty (TKA) that was performed 8 months earlier. His medical…
Principles of Revision Total Knee Arthroplasty
CASE STUDY A 58-year-old woman presented with a painful left knee having previously undergone a patellectomy in association with a Maquet osteotomy at age 26, followed by a total knee…
V-Y Quadriceps Turndown
Introduction Revision knee replacement is a challenging operation that sometimes requires special attention to old surgical scar formation and fibrous adhesions. Complications such as avulsion of the patellar tendon off…
Tibial Tubercle Osteotomy
Algorithm The algorithm presents an approach to tibial tubercle osteotomy in revision total knee arthroplasty (TKA). Chapter Preview Chapter Synopsis This chapter reviews the indications, surgical technique, complications, and outcomes…
Quadriceps Snip
CASE STUDY The patient is a 68-year-old female who was referred 18 months after a total knee arthroplasty (TKA) because of complaints of pain and instability of her knee while…
An Algorithmic Approach to the Painful Total Knee Arthroplasty
Algorithm An algorithm for approaching the painful total knee arthroplasty is presented ( CBC , Complete blood count; CRP , C-reactive protein; CT , computed tomography; ESR , erythrocyte sedimentation…
