JBJS | Revision Total Knee Arthroplasty: What the Practicing Orthopaedic Surgeon Needs to Know

The Journal of Bone & Joint Surgery, Volume 92, Issue 5

Selected Instructional Course Lecture | May 01, 2010

Revision Total Knee Arthroplasty: What the Practicing Orthopaedic Surgeon Needs to Know

David J. Jacofsky, MD¹; Craig J. Della Valle, MD²; R. Michael Meneghini, MD³; Scott M. Sporer, MD⁴; Robert M. Cercek, MD¹

¹ The Core Institute, 3010 West Agua Fria Freeway, Suite 100, Phoenix, AZ 85027. E-mail address for D.J. Jacofsky: david.jacofsky@thecoreinstitute.com
² Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612
³ University of Connecticut Health Center, MARB 4th Floor, 263 Farmington Avenue, Farmington, CT 06034
⁴ 1040 Golf Lane, Wheaton, IL 60189

The Journal of Bone & Joint Surgery. 2010; 92:1282-1292

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Extract

Total knee arthroplasties are done commonly, and the overall results are excellent, with 95% of the implants surviving for at least fifteen years^1,2. The 5% that fail represent a substantial number, and orthopaedic surgeons are seeing an increasing number of patients who initially had a successful total knee replacement but then had pain, radiographic evidence of failure, and/or dysfunction due to failure of the arthroplasty. Extensive bone loss, instability, infection, dysfunction of the extensor mechanism, and periarticular arthrofibrosis are frequent challenges encountered during revision surgery. A systematic approach to the evaluation of patients requiring revision total knee arthroplasty can help identify the correct diagnosis and guide the surgical intervention, thereby optimizing success.

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Topics

femur ; infection ; knee replacement arthroplasty ; tibia ; reconstructive surgical procedures ; patella ; knee joint ; osteopenia ; laboratory techniques and procedures

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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