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Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
Rohan Gopinath1, Scott Koenig1, Aaron Johnson1
1Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USA.
Arthroplasty Today
|March 22, 2021
Summary
Removing well-fixed tibial components during revision total knee arthroplasty is challenging. This study presents a novel technique using a reciprocating saw for safer and more efficient tibial tray removal.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Arthroplasty
Background:
- Revision total knee arthroplasty (TKA) frequently requires removal of well-fixed tibial components.
- Challenges include accessing the implant-bone interface due to component design (pegs, keel, stem) and proximity to vital neurovascular structures and ligaments.
Purpose of the Study:
- To describe a step-by-step technique for removing well-fixed tibial components in revision TKA.
- To address the challenges of component removal while preserving surrounding anatomical structures.
Main Methods:
- A technique utilizing a single-sided reciprocating saw for tibial tray removal is detailed.
- The method focuses on overcoming physical barriers and protecting adjacent critical structures.
Main Results:
- The described technique facilitates the removal of challenging, well-fixed tibial components.
- It offers a method to navigate the complexities of revision TKA surgery.
Conclusions:
- This reciprocating saw technique provides a viable solution for removing well-fixed tibial trays in revision TKA.
- It aims to improve surgical efficiency and safety during revision procedures.
