The surgical approach for revision total knee arthroplasty

Author:

Abdel M. P.1,Della Valle C. J.2

Affiliation:

1. Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.

2. Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, IL 60612, USA.

Abstract

A key to the success of revision total knee arthroplasty (TKA) is a safe surgical approach using an exposure that minimises complications. In most patients, a medial parapatellar arthrotomy with complete synovectomy is sufficient. If additional exposure is needed, a quadriceps snip performed through the quadriceps tendon often provides the additional exposure required. It is simple to perform and does not alter the post-operative rehabilitative protocol. In rare cases, in which additional exposure is needed, or when removal of a cemented long-stemmed tibial component is required, a tibial tubercle osteotomy (TTO) may be used. Given the risk of post-operative extensor lag, a V-Y quadricepsplasty is rarely indicated and usually considered only if TTO is not possible. Cite this article: Bone Joint J 2016;98-B(1 Suppl A):113–15.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

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