Mastering Orthopedic Techniques: Revision Knee Arthroplasty

Total knee replacements (TKRs) are very successful procedures, but they eventually wear out and sometimes complications may develop, requiring a further operation ? revision knee replacement. A revision or ?re-do? total knee replacement procedure involves the removal of the existing TKR and its replacement with new components.

This book presents orthopaedic surgeons with the latest developments, current indications and critical issues in revision knee arthroplasty, providing in depth discussion on surgical reconstruction of the knee and basic knee joint deformities.

Part of the successful Mastering Orthopedic Techniques series, the book is highly illustrated with surgical photographs, operative diagrams, X-Ray images and tables.

Other titles in the series include Total Knee Arthroplasty, Total Hip Arthroplasty, Revision Total Hip Arthroplasty, Spine Surgery, Intra-articular Fractures, and Knee Reconstruction.

Key Points

• Complete guide to revision knee arthroplasty for orthopaedic surgeons
• Presents latest advances, current indications and critical issues
• Highly illustrated with surgical photographs, diagrams, X-Rays and tables
• Part of the successful Mastering Orthopedic Techniques series

1. Why Total Knees Fail
2. Approach to the Patient with Painful Total Knee Arthroplasty
3. Imaging of Failed Total Knee Arthroplasty
4. Preoperative Planning in Revision Knee Arthroplasty
5. Exposure Options for Revision Total Knee Arthroplasty
6. Extensile Exposure in Revision Total Knee Arthroplasty—Tibial Crest Osteotomy
7. Removal of the Femoral Component in Revision Total Knee Arthroplasty
8. Removal of Tibial Component in Revision Total Knee Arthroplasty
9. Choice of Implants in Revision Knee Arthroplasty
10. Stems in Revision Total Knee Replacement
11. Constraint in Revision Total Knee Arthroplasty
12. Restoration of Joint Line and Gaps Balancing in Revision Total Knee Arthroplasty
13. Management of Tibial Bone Defects in Revision Total Knee Arthroplasty
14. Management of Femoral Bone Defects in Revision Total Knee Arthroplasty
15. Use of Cones in Revision Total Knee Arthroplasty
16. Modular Augment Wedges in Revision Total Knee Arthroplasty
17. Metaphyseal Sleeve in Revision TKA with Massive Bone Loss
18. Patellar Treatment in Revision Total Knee Arthroplasty
19. Management of Disrupted Extensor Mechanism in Total Knee Arthroplasty
20. The Role of Structural Allograft in the Management of Bone Loss during Revision Total Knee Arthroplasty
21. Hinges in Revision Total Knee Arthroplasty
22. Hinge Knee for Salvage of Failed Total Knee Arthroplasty
23. Periprosthetic Fractures Around Total Knee Arthroplasty-I
24. Periprosthetic Fractures Around Total Knee Arthroplasty-II
25. Revision Arthroplasty in Periprosthetic Fractures of the Knee
26. Revision Total Knee Arthroplasty for Instability
27. Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty
28. Diagnosis of Sepsis in Failed Total Knee Arthroplasty
29. Single-stage Revision in the Management of TKA Infections
30. Two-stage Revision for Infected Total Knee Arthroplasty
31. Allergy in Total Knee Replacement
32. Revision for Stiff Total Knee Arthroplasty
33. Knee Arthrodesis as a Salvage Procedure
34. Computer-assisted Navigation in Revision TKA
35. Perioperative Wound Management and Rehabilitation in Revision TKR
36. What are the Results of Revision Total Knee Arthroplasty? Consideration of Some Major Issues
37. Failed Total Knee Arthroplasty: A Ready Reckoner

Index

Rajesh Malhotra MBBS MS FRCS FICS FACS FIMSA FNASc FNAMS
Professor and Head, Department of Orthopaedics, Chief, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India

Deepak Gautam MBBS MS Ortho
Assistant Professor, Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India