Revision of Metal-on-Metal Bearing Surfaces in Hip Arthroplasty Skylar Johnson, MD Oladapo M. Babatunde, MD Jonathan Lee, MD William B. Macaulay, MD CASE STUDY A 60-year-old woman, who had left primary metal-on-metal hip resurfacing 3.5 years earlier for severe osteoarthritis, presented with increasing left…
Options for Acetabular Revision Derek R. Jenkins, MD Rafael J. Sierra, MD David G. Lewallen, MD CASE STUDY In 2000, a 72-year-old woman, who had a right, porous-coated anatomic prosthesis placed in 1986, presented to our institution with a limp and complaints about…
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…
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…
Patellar Bone Grafting Michael J. Taunton, MD Arlen D. Hanssen, MD CASE STUDY Case 1 An 80-year-old woman presented 14 years after a primary total knee arthroplasty (TKA) with failure due to aseptic loosening and massive osteolysis. She presented with acute pain…
Metaphyseal Fixation Adam A. Sassoon, MD Arlen D. Hanssen, MD Introduction Management of severe bone loss is one of many challenges during revision total knee arthroplasty (TKA). The restoration of a metaphyseal platform that adequately supports the subsequent joint reconstruction affects implant…
Impaction Bone Grafting Leo A. Whiteside, MD Chapter Preview Chapter Synopsis Repair and reconstruction of a failed total knee arthroplasty (TKA) should begin with a plan that includes conservative treatment of the bone and soft tissues, restoration of bone stock with…
Algorithm Introduction TKA poses significant challenges to achieving fixation, stability, alignment, and joint line restoration. Meticulous surgical technique with the appropriate implants is needed for satisfactory surgical outcome. With improvements in instrumentation and prosthetic design, the goals of revision TKA…
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…