Revision total knee arthroplasty

R. Meneghini, Kelly G. Vince, Bradford S. Waddell, Geoffrey Westrich

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Diagnosis of the failed total knee arthroplasty (TKA) should proceed in a systematic manner, with insight into the most common etiologies of failure. Other than infection, flexion instability has emerged as the most common reason for early revision TKA. Methods for reconstruction of bone loss include cement and screws and block augments for moderate defects, and large defects are managed with metaphyseal porous metal cones or partially porous modular stepped sleeves. Adequate short-term clinical results have been obtained with both methods. Registry data document a 22% reoperation rate at 10 years after revision TKA. Clinical outcomes of revision TKA in young patients and those undergoing revision for infection are associated with an increased risk of poor outcome. Patient satisfaction is also reportedly lower with revision TKA than with primary TKA, and is even lower for those undergoing revision for infection.

Original languageEnglish (US)
Title of host publicationOrthopaedic Knowledge Update
Subtitle of host publicationHip and Knee Reconstruction 5
PublisherWolters Kluwer Health
Pages267-278
Number of pages12
ISBN (Electronic)9781975123819
ISBN (Print)9781975123796
StatePublished - Jan 1 2018

    Fingerprint

Keywords

  • Bone loss
  • Metaphyseal cones
  • Metaphyseal sleeves
  • Outcomes
  • Patient satisfaction
  • Revision total knee arthroplasty
  • Revision total knee replacement

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Meneghini, R., Vince, K. G., Waddell, B. S., & Westrich, G. (2018). Revision total knee arthroplasty. In Orthopaedic Knowledge Update: Hip and Knee Reconstruction 5 (pp. 267-278). Wolters Kluwer Health.