Use of Constrained Implants
CASE STUDY An 85-year-old man presented with a painful knee 5 years after a total knee arthroplasty was performed through a limited medial incision; the posterior-stabilized prosthesis used had a…
Balancing the Gaps
Algorithm The three-step algorithm above is used as a guide for revision total knee arthroplasty (TKA) Introduction TKA poses significant challenges to achieving fixation, stability, alignment, and joint line restoration….
Revision Total Knee Arthroplasty
CASE STUDY A 59-year-old man presented for evaluation of a stiff and painful revision total knee arthroplasty (TKA). The patient was experiencing significant dysfunction due to his limited range of…
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…
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…
