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…
Chapter Preview Chapter Synopsis Patient selection and physical examination of the patient who is a candidate for a standard medial parapatellar arthrotomy in revision total knee arthroplasty (TKA) are discussed. Step-by-step surgical techniques for the standard medial parapatellar arthrotomy are…
Algorithm Introduction Total knee arthroplasty (TKA) is a reliable and reproducible procedure for treatment of the arthritic knee. Despite generally successful outcomes, some patients experience clinical failure with symptoms of pain and impaired function. Although the impact of this failure…
Introduction In the patient with a failed total knee replacement (TKA), imaging modalities represent an integral part of diagnostic evaluation. As joint replacement arthroplasty becomes more common with the aging population and implant longevity improves, the number of patients requiring…
Introduction The etiology of new or persistent pain or poor function after total knee arthroplasty (TKA) often presents a diagnostic dilemma. Determining the cause of pain starts with the patient’s history, physical examination, and plain radiographic studies but often requires…
Algorithm The algorithm presents a flow chart of temporal events and suggested etiology. Introduction Total knee arthroplasty (TKA) is a successful and durable procedure for management of the painful arthritic knee. The literature demonstrates more than 90% survivorship at 20…
Introduction Rising health care costs are threatening the long-term sustainability of the U.S. health care system. Costs continue to rise at a rate that significantly outpaces inflation. As a result, the percentage of the U.S. gross domestic product spent on…
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