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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Alternatives to revision total knee arthroplasty
R E Jones1, R D Russell, M H Huo
1University of Texas Southwestern Medical Center, Department of Orthopaedic Surgery, 12606 Greenville Avenue, Dallas, Texas 75243, USA.
The Journal of Bone and Joint Surgery. British Volume
|November 3, 2012
Summary
Complex revision total knee arthroplasty often requires advanced implants for bone loss and ligament issues. When reconstruction fails, alternatives like knee fusion, resection, or amputation are considered for severe cases.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Complex revision total knee arthroplasty presents significant challenges.
- Available implant systems offer solutions for bone loss and instability.
Purpose of the Study:
- To review management strategies for complex revision total knee arthroplasty.
- To outline alternatives when arthroplasty reconstruction is not feasible.
Main Methods:
- Review of current implant systems for revision total knee arthroplasty.
- Discussion of indications for alternative limb-sparing or salvage procedures.
Main Results:
- Modular metaphyseal sleeves, metallic augments, and hinged designs address bone loss and ligamentous deficiencies.
- Knee arthrodesis, resection arthroplasty, and amputation are viable alternatives for catastrophic failures.
Conclusions:
- Advanced implant components enhance reconstructive options in complex revision total knee arthroplasty.
- Specific patient factors, including infection and tissue defects, guide the selection of salvage procedures over revision arthroplasty.