Seminars in Arthroplasty
Volume 21, Issue 2 , Pages 113-115, June 2010

Alternatives to Revision Total Knee Arthroplasty

  • Richard E. Jones, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Richard E. Jones, MD, Chief and Joint Restoration, Orthopedic Specialists, 5920 Forest Park Road, 600, Dallas, TX 75235

UT Southwestern Medical Center, Orthopedic Specialists, Dallas, TX, USA

Most problems encountered in difficult revision total knee arthroplasty can be managed by the wide range of systems now available. Modular metaphyseal sleeves or trabecular metal augments will provide stability even with significant bone loss, and hinged systems substitute for ligamentous deficiencies. Catastrophic failure that precludes reconstruction can be encountered. The alternative to arthroplasty in such drastic situations is knee arthrodesis, resection arthroplasty, and amputation. The relative indications for selection of alternatives are recurrent deep infection, immunocompromised patient, and extensive nonreconstructible hard- or soft-tissue loss. Techniques for each alternative will be reviewed.

Keywords: TKA failure, knee arthrodesis, resection arthroplasty, amputation

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PII: S1045-4527(09)00100-X

doi:10.1053/j.sart.2009.12.014

Seminars in Arthroplasty
Volume 21, Issue 2 , Pages 113-115, June 2010

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