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Published on: November 8, 2024
Management of bone loss in revision total knee arthroplasty
Thomas W Huff1, Thomas P Sculco
1Hospital for Special Surgery, New York, New York 10021, USA.
Abstract:
Revision total knee arthroplasty presents several complex challenges to the adult reconstructive surgeon, including management of bone loss and ligamentous insufficiency. Bone loss patterns can be anatomically categorized and the surgical treatment can be algorithmically approached based on the bone loss pattern. In this review, we present a simplified, anatomically based classification system of bone loss patterns encountered in total knee arthroplasty. This classification system can help guide the orthopedic surgeon in prosthetic design selection, and the allograft and prosthetic augmentation options in the surgical management of these cases.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...