The Unhappy Total Knee Replacement: A Comprehensive Review and Management Guide

Front Matter....Pages i-xxvi
Front Matter....Pages 1-1
1 Anatomy and Biomechanics of the Natural Knee and After TKR....Pages 3-15
2 Biology of the Knee After Total Knee Replacement: Neglected Potential or Source of Failure?....Pages 17-27
3 There Is an Optimal Rotational Alignment in Total Knee Replacement: Femoral Rotation Does Matter!....Pages 29-38
4 There Is an Optimal Rotational Alignment in Total Knee Replacement: Tibial Rotation Does Matter!....Pages 39-45
5 Measured Resection and Gap Balancing Technique in TKR....Pages 47-57
6 How Can Preoperative Planning Prevent Occurrence of a Painful Total Knee Replacement?....Pages 59-68
7 Specific Orthopaedic Imaging Analysis Software: Clinical Benefit for TKR Revision Surgeon....Pages 69-83
8 Design, Shape, and Materials of Total Knee Replacement....Pages 85-97
Case Discussion to Chap. 8: Iliotibial Tract Syndrome After Cruciate-Substituting Guided Motion TKR....Pages 99-103
9 Importance of the Patellofemoral Joint for Total Knee Replacement....Pages 105-113
Front Matter....Pages 115-115
10 Avoiding Wound Complications in Total Knee Replacement....Pages 117-126
11 Material Failure of Total Knee Replacement....Pages 127-133
12 Patterns of Wear in Total Knee Replacement....Pages 135-145
Case Discussion to Chap. 12: Chronic Pain Due to Metallosis After TKR....Pages 147-153
13 Periprosthetic Fractures Following Total Knee Replacement....Pages 155-163
14 Malposition and Malorientation After Total Knee Replacement....Pages 165-173
15 The Problem of Under-or Oversizing of Total Knee Replacement....Pages 175-184
Case Discussion to Chap. 15: Stiff Knee Joint After TKR Due to Tight Flexion Gap in Oversized TKR....Pages 185-188
Case Discussion to Chap. 15: Lateral Oversizing of Tibial TKR Component Leading to Chronic Irritation of the Iliotibial Tract....Pages 189-194
16 Instability of Total Knee Replacement....Pages 195-205
Front Matter....Pages 115-115
Case Discussion to Chap. 16: Mid-Flexion Instability After TKR Due to Femoral Malrotation....Pages 207-213
17 Extensor Mechanism Deficiency in Total Knee Replacement....Pages 215-224
18 Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement....Pages 225-237
19 Periprosthetic Joint Infection After TKR....Pages 239-242
20 Allergy and Hypersensitivity to Implant Materials....Pages 243-255
21 Stiffness After Total Knee Replacement....Pages 257-275
Case Discussion to Chap. 21: “Mechanical” Arthrofibrosis....Pages 277-283
22 Reducing the Impact of Psychological Factors on Outcome....Pages 285-295
23 Impingement After Total Knee Replacement....Pages 297-305
24 Chronic Regional Pain Syndrome (Algodystrophy) in Patients After Knee Replacement....Pages 307-311
Front Matter....Pages 313-313
25 Medical History and Physical Examination....Pages 315-326
26 Laboratory Analysis in the Assessment of Painful Total Knee Replacement....Pages 327-334
27 Diagnosis of Periprosthetic Joint Infection After Total Knee Replacement....Pages 335-343
28 What Do Radiographs Tell Us?....Pages 345-357
29 Determination of Component Orientation and Position in Patients After Total Knee Replacement....Pages 359-369
30 Magnetic Resonance Imaging in Total Knee Replacement....Pages 371-376
31 Nuclear Medicine Imaging (SPECT/CT) in the “Unhappy” Total Knee Replacement: A Potential for Better Diagnosis!....Pages 377-396
32 Fluoroscopy and Stress Radiographs Diagnosing Instability in Patients After Total Knee Replacement....Pages 397-405
33 The Diagnostic Value of Biopsy and Joint Aspiration in Periprosthetic Joint Infection....Pages 407-415
34 A Diagnostic Algorithm for Patients with Painful Total Knee Replacement: What to Do When....Pages 417-433
Front Matter....Pages 313-313
Case Discussion to Chap. 34: Persistent/Recurrent Pain After TKR Not Always TKR Related....Pages 435-441
35 Algorithm for the Management of Patients with Painful Total Knee Replacement....Pages 443-450
36 Management of Patients with Painful Total Knee Replacement: A Multimodal Approach....Pages 451-461
Front Matter....Pages 463-463
37 Pain After TKR: When Is a Conservative Treatment Beneficial?....Pages 465-470
38 Radiosynoviorthesis in Painful Total Knee Replacement....Pages 471-476
39 Physical Therapy for Persistent Pain After Total Knee Replacement....Pages 477-487
40 Intraoperative Landmarks in Revision Surgery....Pages 489-497
41 A Practical Approach to Biopsy, Joint Aspiration, and Diagnostic Arthroscopy....Pages 499-506
42 Arthroscopic Treatment of Patellofemoral Soft Tissue Impingement After Total Knee Replacement....Pages 507-513
43 Exposure for Revision Total Knee Replacement....Pages 515-523
44 Treatment of Aseptic Loosening....Pages 525-535
45 Treatment of Instability After Total Knee Replacement....Pages 537-546
46 Algorithm for Treating Infection After TKR....Pages 547-557
Case Discussion to Chap. 46: The Ultimate Challenge for the Orthopaedic Surgeon – Infection....Pages 559-566
47 Cementless Versus Cemented Revision Total Knee Replacement....Pages 567-573
48 The Optimal Cementing Technique in Total Knee Replacement....Pages 575-580
49 Use of Stems in Revision Total Knee Replacement....Pages 581-591
50 Ligament and Gap Balancing in Revision Total Knee Replacement....Pages 593-610
51 Complications After Revision TKR....Pages 611-622
Case Discussion to Chap. 51: Patellofemoral Problems After Total Knee Replacement....Pages 623-629
Front Matter....Pages 463-463
52 Joint Line Restoration in Revision Total Knee Replacement....Pages 631-638
Case Discussion to Chap. 52: Patellofemoral Pain After Cruciate Retaining Total Knee Replacement....Pages 639-642
53 Analysis and Treatment of Anterior Knee Pain After Total Knee Replacement....Pages 643-652
Case Discussion to Chap. 53: Persistent Anterior Knee Pain After Total Knee Replacement....Pages 653-656
54 Constrained Condylar Total Knee Replacement....Pages 657-662
55 Hinged Implants for Revision Total Knee Replacement....Pages 663-669
56 Management of Bone Loss in Revision Total Knee Replacement....Pages 671-678
57 Osteotomy of the Tibial Tubercle in Total Knee Replacement Revision Surgery....Pages 679-685
58 Extensor Apparatus Insufficiencies....Pages 687-700
59 Low-Grade Infection After Total Knee Replacement....Pages 701-713
60 Treatment of Infected Total Knee Replacement: Concept, Surgical Options and Antibiotic Therapy....Pages 715-727
Case Discussion to Chap. 60: Two-Stage Revision Total Knee Replacement and Significant Femorotibial Bone Loss....Pages 729-734
61 Navigated Revision Total Knee Replacement....Pages 735-745
62 Periprosthetic Fracture Treatment in Total Knee Replacement....Pages 747-762
Case Discussion to Chap. 62: Rare Femoral Periprosthetic Fracture After Complex TKR – Unusual Surgical Solutions....Pages 763-769
63 The Knee Arthroplasty Endgame: Four Options in the Face of Calamity....Pages 771-795
Case Discussion to Chap. 63: Desarthrodesis to a Total Knee Replacement: A Complication-Prone Procedure!....Pages 797-802
Back Matter....Pages 803-823