Now in its fully revised and updated second edition, this comprehensive, how-to text covers all aspects of revision total knee arthroplasty (TKA), complete with step-by-step descriptions of surgical techniques. Divided thematically into three main sections, part I discusses evaluation and diagnosis of the failed TKA, including imaging and updates on incidence and rationale for reoperation. General principles of revision surgery are presented in part II, addressing skin and extensile exposure, component removal, allografts, metaphyseal sleeves and cones, femoral and tibial alignment, and restoration of stability. Part III presents the many special considerations that come into play with revision TKA, including periprosthetic fracture, infection, stiffness and other post-operative complications and complexities. The role of arthrodesis and the economics of revision TKA are also elucidated.
Utilizing the most current evidence and generously illustrated, orthopedic surgeon
s, sports medicine specialists and residents alike will find
Revision Total Knee Arthroplasty, Second Edition a thorough and informative resource when treating the patient following knee replacement surgery.
James V. Bono, MD
Clinical Professor of Orthopedic Surgery
Tufts University School of Medicine
Vice Chair for Orthopedics for Medical Education
New England Baptist Hospital
Boston, MA, USA
Richard D. Scott, MD
Professor Emeritus of Orthopedic Surgery
Harvard Medical School
Former Chief, Joint Arthroplasty Service
New England Baptist and Brigham and Womens Hospitals
Boston, MA, USA
Reoperation After Total Knee Arthroplasty.- Implant Bearings in Total Knee Arthroplasty.- The Painful Total Knee Arthroplasty.- IMAGING OF TOTAL KNEE ARTHROPLASTY.- Skin Exposure Issues.- Extensile Exposures for Total Knee Arthroplasty.- Removal of the Femoral and Tibial Components for Revision Total Knee Arthroplasty.- Allograft in Revision Total Knee Arthroplasty.- Modular Augments in Revision Total Knee Arthroplasty.- Metaphyseal Sleeves and Cones in Revision Total Knee Arthroplasty.- Femoral Alignment and Femoral Rotation.- Tibial Alignment.- Use of Stems in Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection in Revision Total Knee Arthroscopy.- Management of Extensor Mechanism During Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection Through the Use of a Trial Cutting Guide.- Infection in Total Knee Arthroplasty.- Use of an Antibiotic-Impregnated Spacer in Revision Total Knee Arthroplasty.- Periprosthetic Fractures After Total Knee Arthroplasty.- Total Knee Arthroplasty After Failed High Tibial Osteotomy.- Total Knee Arthroplasty Following Prior Unicompartmental Replacement.- Hinge Implants.- Total Knee Arthroplasty After Fractures About the Knee.- Management of the Stiff Total Knee Arthroplasty.- Aseptic Synovitis.- Prodromes of Failure After Revision Total Knee Arthroplasty.- Assessing the High Risk Patient for Revision Total Knee Replacement.- Salvage Knee Surgery: Arthrodesis.
