Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Revision after total knee arthroplasty

J A Rand, R S Bryan

    The Orthopedic Clinics of North America
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Revision total knee arthroplasty is often needed due to loosening or poor alignment. Proper initial surgery and careful revision techniques improve outcomes, but one-third of patients experience unsatisfactory results.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Evaluation and management of unicompartmental osteoarthritis: role of arthroscopy in upper tibial osteotomy.

    Orthopedics·2014
    Same author

    Fat embolism syndrome after bilateral total knee replacement.

    Orthopedics·2014
    Same author

    Total shoulder arthroplasty for the arthropathy of hemochromatosis: a case report.

    Orthopedics·2014
    Same author

    The Knee Society Index of Severity for failed total knee arthroplasty: development and validation.

    Clinical orthopaedics and related research·2001
    Same author

    The Knee Society Index of Severity for failed total knee arthroplasty: practical application.

    Clinical orthopaedics and related research·2001
    Same author

    Total knee arthroplasty using cruciate-retaining kinematic condylar prosthesis.

    Clinical orthopaedics and related research·2001

    Area of Science:

    • Orthopedic Surgery
    • Biomedical Engineering

    Background:

    • Revision total knee arthroplasty (TKA) is frequently necessitated by prosthetic loosening, instability, and inadequate axial alignment.
    • These issues can lead to abnormal stresses, component failure, and tibial stress fractures.

    Purpose of the Study:

    • To evaluate the outcomes of revision total knee arthroplasty.
    • To identify critical factors for successful revision TKA and patient satisfaction.

    Main Methods:

    • Retrospective analysis of 142 revision TKAs (95 with one revision, 37 with two, 10 with three).
    • Focus on surgical techniques including debridement, quadriceps balancing, alignment restoration, and prosthesis constraint selection.
    • Use of external bracing for 3-6 months post-revision.

    Related Experiment Videos

    Main Results:

    • Approximately two-thirds of revision TKAs yielded satisfactory results.
    • One-third of patients experienced unsatisfactory outcomes, characterized by persistent pain or restricted motion.

    Conclusions:

    • Achieving correct axial alignment and soft tissue balance during initial TKA is crucial to prevent revision.
    • Thorough debridement, quadriceps balance, precise alignment, minimized bone loss, and appropriate prosthesis constraint are essential for successful revision TKA outcomes.