Patellar Instability
Patellar Instability Timothy S. Brown Rafael J. Sierra Key Concepts Patellar instability is a common cause of anterior knee pain and stiffness following total knee arthroplasty (TKA). The most common…
Knee Stiffness
Knee Stiffness Stephen M. Petis Mark W. Pagnano Key Concepts Stiffness after total knee arthroplasty (TKA) is a frustrating problem for patient and surgeon alike. Few patients with substantial limitation…
Tibiofemoral Instability
Tibiofemoral Instability Timothy S. Brown Matthew P. Abdel Key Concepts Instability accounts for approximately 10 to 25% of revision total knee arthroplasties (TKAs). Types of tibiofemoral instability include: Sagittal (anteroposterior)…
Constrained Implants
Constrained Implants Kevin I. Perry Key Concepts Instability is equal to infection as the most common cause of revision in the first 5 years after total knee arthroplasty (TKA). Additionally,…
Bone Grafting Methods and Allograft Prosthetic Replacement
Bone Grafting Methods and Allograft Prosthetic Replacement Robert T. Trousdale Key Concepts Cancellous bone grafts and structural allografts remain an excellent choice for bone loss issues in selective cases during…
Metaphyseal Fixation: Sleeves and Cones
Metaphyseal Fixation: Sleeves and Cones Brian P. Chalmers David G. Lewallen Key Concepts Reestablish metaphyseal support for revision total knee arthroplasty (TKA) implants with ingrowth porous-metal metaphyseal cones or porous-coated…
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…
