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 motion (ROM). He had a history of two knee arthroscopies…
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 history was significant for type 2 diabetes and smoking tobacco…
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 flexion contracture to 120 degrees of flexion. Surgery was uncomplicated,…
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 ( Fig. 13.1 ). This functioned very well for 3 months…
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 arthroplasty (TKA) at age 48. The primary TKA was a…
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. A systematic and preplanned approach obviates the need for unwanted…
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 our office, she developed progressive pain, swelling, and a sensation…
Algorithm The algorithm presents an approach to tibial tubercle osteotomy in revision total knee arthroplasty (TKA). Chapter Preview Chapter Synopsis This chapter reviews the indications, surgical technique, complications, and outcomes of tibial tubercle osteotomy (TTO) for revision TKA. Particular attention…
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 of its tibial tubercle insertion may occur as the result…
CASE STUDY The patient is a 68-year-old female who was referred 18 months after a total knee arthroplasty (TKA) because of complaints of pain and instability of her knee while ambulating. A TKA had been performed for osteoarthritis, and her…