Extensile Exposures for Total Knee Arthroplasty
Fig. 6.1 After revision arthroplasty for infection and placement of a lateral gastrocnemius pedicle flap , this incision is displaced to the medial side of the midline in order to…
Skin Exposure Issues
Fig. 5.1 Diagram demonstrating the extraosseous peripatellar anastomotic ring. ATR anterior tibial recurrent, LIG lateral inferior genicular, LSG lateral superior genicular, MIG medial inferior genicular, MSG medial superior genicular, SG…
Infection in Total Knee Arthroplasty
Fig. 17.1 A small sinus present around the incision several years after TKA should raise the concern regarding the likelihood of a substantial chronic late infection Weight-bearing radiographs should be…
Assessing the High-Risk Patient for Revision Total Knee Replacement
Fig. 27.1 (a) Standing anterior-posterior radiograph of an obese patient with a pendulous fatty panniculus following massive weight loss . (b and c) Photographs demonstrating redundant skin overhanging the patella…
Management of the Stiff Total Knee Arthroplasty
Fig. 24.1. Heterotopic ossification is seen in the extensor mechanism and can limit flexion of the knee. Limited surgical dissection in the suprapatellar pouch may potentially avoid this complication However,…
Prodromes of Failure After Revision Total Knee Arthroplasty
Symptom Yes No 1. Pain 2. Swelling 3. Instability 4. Stiffness 5. Clicking 6. Progressive deformity 7. Grinding 8. Catching 9. Redness 10. Drainage 11. Fevers – – – –…
Removal of the Femoral and Tibial Components for Revision Total Knee Arthroplasty
Fig. 7.1 Disrupting the cement-metal interface of a femoral component with an osteotome. The goal is to debond the implant from the cement first and then to remove remaining cement…
Reoperation After Total Knee Arthroplasty
94 insert wear with lysis (most implanted in mid-1990s) 37 insert wear with synovitis 8 insert wear without symptoms 32 late metastatic infections 13 stiffness (8 treated with arthroscopy) 9…
