CASE STUDY A 58-year-old woman complained of progressive left knee pain and giveway for 1 year. She had a history of a motor vehicle accident 19 years previously in which she sustained an open supracondylar femur fracture. This was treated…
CASE STUDY Case 1 A 72-year-old woman underwent a total knee arthroplasty (TKA) for primary osteoarthritis that was revised to a hinged TKA 12 years later because of loosening. Twelve months after the revision TKA, she was referred to our…
CASE STUDY A healthy, 65-year-old woman presented to the emergency room with complaints of increased right knee redness, warmth, swelling, and pain 3 weeks after undergoing a primary right total knee arthroplasty (TKA). Physical examination revealed a swollen, red knee…
Articulating Spacer in Two-Stage Revisions Jacob T. Munro, MBChB, FRACS Bassam A. Masri, MD, FRCSC Donald S. Garbuz, MD, MHSc, FRCSC Nelson V. Greidanus, MD, MPH, FRCSC CASE STUDY A 65-year-old man presented to our office 2 years after a right total knee arthroplasty…
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 implying was the fact that all surgical wounds are in…
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 is multifactorial and may include trauma, osteonecrosis of the patella,…
CASE STUDY A 66-year-old woman underwent a primary total knee arthroplasty for advanced osteoarthritis of her right knee. Four years after the index arthroplasty, she sustained a closed, displaced, comminuted, supracondylar periprosthetic femur fracture after a mechanical fall. This was…
Classification of Periprosthetic Femur Fractures Occurring With Total Knee Arthroplasty Matthew P. Abdel, MD Rafael J. Sierra, MD Introduction By 2030, the demand for primary total knee arthroplasties (TKAs) is expected to grow by 673% to 3.48 million procedures annually. Revision TKAs…
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, she had had several falls. During that period, she had…
CASE STUDY A 48-year-old woman underwent a left total knee arthroplasty. A tibial tubercle osteotomy was performed for patellar maltracking 10 years before her arthroplasty. The postoperative course was uncomplicated. Approximately 18 months after surgery, the patient was playing golf…