1. A sinus tract communicating with the prosthesis 2. A pathogen is isolated by culture from two separate tissue or fluid samples obtained from the affected prosthetic joint 3. Four…
Fig. 49.1 (a) Anteroposterior and (b) lateral radiographs of fully cemented stems used for revision TKR Fig. 49.2 (a) Anteroposterior and (b) lateral radiographs of a revision TKR using a…
Femur Plane Landmark Alignment Femoral bone Coronal and sagittal plane Intramedullary canal Varus/valgus alignment, flexion, and extension Distal femoral condylar line Coronal plane Distal medial and lateral femoral condyle Varus/valgus…
AP view Lateral view Skyline view Implant size, positioning, and alignment (coronal) ++ Implant size, positioning, and alignment (sagittal) +++ Implant size, positioning, and alignment (patella) ++ ++ Joint…
Fig. 51.1 A 52-year-old woman was treated with two-stage revision TKR for management of a chronically infected primary TKR. The patient developed severe end stem tibial pain. A prior tibial…
Fig. 34.1 A detailed history and thorough clinical examination to differentiate and identify the different causes for recurrent or persistent problems after TKR Fig. 34.2 Proposed diagnostic algorithm for patients…
Fig. 1 Preoperative long-leg radiograph showed an arthrodesis with a long custom-made intramedullary nail (T2 Nail™ Stryker, Zimmer, Germany) Fig. 2 Photograph showing a soft tissue expander type (Mentor Expander®,…
Fig. 32.1 Images demonstrating mechanical anterior stress radiographs using a Telos® device. The knee joint is flexed in 90°. The foot is placed in a shoe-like construct, which is fixed…
Fig. 61.1 Sensorized surgical tools, used for RTKR navigated surgical procedure: (a) reference arrays to be fixed on the femur and on the tibia to allow the tracking of the…
Fig. 63.1 Accurate surgical planning requires a systematic and comprehensive diagnostic approach. This worksheet embodies one such approach. The eight possible diagnoses that lead to revision surgery are listed in…
