REVISION KNEE ARTHROPLASTY

1. Why Total Knees Fail 1
2. Approach to the Patient with Painful Total Knee Arthroplasty 9
3. Imaging of Failed Total Knee Arthroplasty 21
4. Preoperative Planning in Revision Knee Arthroplasty 45
5. Exposure Options for Revision Total Knee Arthroplasty 53
6. Extensile Exposure in Revision Total Knee Arthroplasty: Tibial Crest Osteotomy 63
7. Removal of the Femoral Component in Revision Total Knee Arthroplasty 71
8. Removal of Tibial Component in Revision Total Knee Arthroplasty 81
9. Choice of Implants in Revision Knee Arthroplasty 95
10. Stems in Revision Total Knee Replacement 115
11. Constraint in Revision Total Knee Arthroplasty 131
12. Restoration of Joint Line and Gaps Balancing in Revision Total Knee Arthroplasty 145
13. Management of Tibial Bone Defects in Revision Total Knee Arthroplasty 151
14. Management of Femoral Bone Defects in Revision Total Knee Arthroplasty 161
15. Use of Cones in Revision Total Knee Arthroplasty 171
16. Modular Augment Wedges in Revision Total Knee Arthroplasty 179
17. Metaphyseal Sleeve in Revision TKA with Massive Bone Loss 189
18. Patellar Treatment in Revision Total Knee Arthroplasty 199
19. Management of Disrupted Extensor Mechanism in Total Knee Arthroplasty 215
20. The Role of Structural Allograft in the Management of Bone Loss during Revision Total Knee Arthroplasty 233
21. Hinges in Revision Total Knee Arthroplasty 243
22. Hinge Knee for Salvage of Failed Total Knee Arthroplasty 253
23. Periprosthetic Fractures Around Total Knee Arthroplasty-I 261
24. Periprosthetic Fractures Around Total Knee Arthroplasty-II 275
25. Revision Arthroplasty in Periprosthetic Fractures of the Knee 293
26. Revision Total Knee Arthroplasty for Instability 309
27. Conversion of Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty 319
28. Diagnosis of Sepsis in Failed Total Knee Arthroplasty 327
29. Single-stage Revision in the Management of TKA Infections 345
30. Two-stage Revision for Infected Total Knee Arthroplasty 357 31. Allergy in Total Knee Replacement 373
32. Revision for Stiff Total Knee Arthroplasty 379
33. Knee Arthrodesis as a Salvage Procedure 391
34. Computer-assisted Navigation in Revision Total Knee Arthroplasty 399
35. Perioperative Wound Management and Rehabilitation in Revision TKR 411
36. What are the Results of Revision Total Knee Arthroplasty? Consideration of Some Major Issues 417
37. Failed Total Knee Arthroplasty: A Ready Reckoner 443
Index

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

Author information
• 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