The surgical approach for revision total knee arthroplasty

Matthew Abdel, C. J. Della Valle

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)113-115
Number of pages3
JournalBone and Joint Journal
Issue number1
StatePublished - Jan 1 2016

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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