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Revision of Multiple Revised Hinge Total Knee Replacement -a Rare Case Report
Muthusaravanakumar Meignanagure1, Yogadeepan Dhakshinamurthi1, Sathyamoorthy S Elangovan1
1Dr. Muthus Super Speciality Orthopaedic Hospital, Coimbatore, Tamil Nadu, India.
Journal of Orthopaedic Case Reports
|February 17, 2025
Summary
Revision total knee replacement (TKR) is common. This case shows that not all revisions require full component replacement, as targeted hinge revision can be effective.
Area of Science:
- Orthopedic surgery
- Biomaterials science
Background:
- Revision total knee replacement (TKR) is increasingly common due to early TKR and longer life expectancy.
- Thorough pre-operative planning and assessment are vital for managing revision cases effectively.
Observation:
- An 83-year-old male presented with right knee pain and instability after bilateral TKR 20 years prior.
- He had undergone two previous right knee revisions.
- Intraoperative findings revealed stable components but noted poly wear, hinge breakage, and cement mantle interposition.
Findings:
- The intraoperative assessment indicated that only hinge revision was necessary.
- This approach addressed the specific issues identified without necessitating complete component revision.
Implications:
- Not all revision total knee replacements require full component exchange.
- Careful intraoperative evaluation and targeted management can prevent complications and optimize patient outcomes.
