and Gautam M. Shetty2 (1) Consultant Joint Replacement Surgeon Department of Orthopaedic Surgery, Breach Candy Hospital, Mumbai, Maharashtra, India (2) Consultant Arthritis Care and Joint Replacement Surgery, Asian Orthopedic Institute Asian Heart…
ORTHOPEDIC
Revision Total Knee Arthroplasty: Management of Periprosthetic Femur Fracture Around Total Knee Arthroplasty
Fig. 11.1. Rorabeck and Lewis classification: type 1 non-displaced fracture with well-fixed implant; type 2 displaced fracture with well-fixed implant; type 3 non-displaced or displaced fracture with loose implant. Type…
Complex Primary Total Knee Arthroplasty: Management of Extra-articular Deformity
Fig. 5.1. Preoperative long-standing film showing preoperative plan. Fig. 5.2. Preoperative lateral film. 5.1.2 Management Patient underwent left lower extremity hardware removal and total knee arthroplasty in a single surgery….
Complex Primary Total Knee Arthroplasty: Management of Valgus Knee
Fig. 2.1. Preoperative X-rays of the knee. View: (a) anteroposterior, (b) lateral, (c) patellofemoral. 2.1.2 Management The patient was diagnosed with end-stage osteoarthritis and, having failed conservative therapy, elected to…
Revision Total Knee Arthroplasty: Management of Ligamentous Instability
Fig. 13.1. Preoperative AP (a), lateral (b), and Merchant view (c) radiographs demonstrating component positioning after index TKA procedure. 13.3 Diagnosis/Assessment 13.3.1 History The evaluation of ligamentous instability after total…
Complex Primary Total Knee Arthroplasty: Management of Flexion Contracture
Fig. 3.1. Lateral picture of the patient’s right knee after surgical prep depicting 20° flexion contracture. Weight-bearing AP, lateral, and sunrise radiographs of the patient’s right knee showed advanced joint…
Complex Primary Total Knee Arthroplasty: Management of Varus Knee
Fig. 1.1. Weight-bearing AP radiograph of the right knee of a 65-year-old male with medial joint space narrowing, osteophytes, and varus deformity. Fig. 1.2. Lateral view radiograph of the right…
Periprosthetic Infection: Management of Chronically Infected Total Knee Arthroplasty
Fig. 9.1. Initial radiographs at first consultation. The arthrocentesis was performed after the patient had been off of antibiotics for 3 weeks. Synovial fluid analysis revealed a synovial white cell…
Revision Total Knee Arthroplasty: Management of Deficient Extensor Mechanism
Fig. 10.1. Lateral radiographs demonstrating disruption of the extensor mechanism through a failed attempt at fixation of a displaced patella fracture. Because of the patients’ severe disability, the decision was…
Revision Total Knee Arthroplasty: Management of Bone Loss
Fig. 12.1. (a–d) Preoperative X-rays reveal a cemented right and left total knee arthroplasties with radiographic signs of loosening. The right TKA tibial component has subsided into varus. 12.1.1 Diagnosis/Assessment…