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…
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…
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…
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…
Acute and Chronic Quadriceps Tendon Ruptures After Total Knee Arthroplasty
CASE STUDY A 66-year-old woman presented with a painful, unstable left total knee arthroplasty. She had undergone many prior procedures, including two revision arthroplasties, and during the past 2 years,…
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…
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…
Classification of Bone Defects
Introduction Revision total knee arthroplasty (TKA) is challenging in the presence of significant bone loss. In the revision setting, bone deficiencies can be secondary to removal of the implant, subsidence…
Management of Knee Instability: Use of Hinged Implants
CASE STUDY A 77-year-old woman suffered a ground-level fall 9 months before presentation in which she sustained a comminuted left distal femur fracture. Before the fall, she was a community…
Management of Bone Defects Using Bone Graft
CASE STUDY A 56-year-old man with no significant medical history had a left medial unicondylar arthroplasty done at an outside institution for isolated medial knee osteoarthritis. He presented to our…
