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.
Original language | English (US) |
---|---|
Pages (from-to) | 113-115 |
Number of pages | 3 |
Journal | Bone and Joint Journal |
Volume | 98B |
Issue number | 1 |
DOIs | |
State | Published - Jan 2016 |
ASJC Scopus subject areas
- General Medicine