Prodromes of Failure After Revision Total Knee Arthroplasty View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2017-12-02

AUTHORS

Jess H. Lonner , Max Greenky

ABSTRACT

While comparison of failure mechanisms and rates in revision TKA is confounded by variability in implant designs (old versus new prostheses), technical complexity (extent of bone and ligament loss), integrity of the extensor mechanism, presence of overt or occult sepsis, and outcomes measures, there is one certainty. That certainty is that a percentage of revision TKAs will fail. Identifying the prodromal signs and symptoms that suggest a problem is important to prompt early intervention which may optimize outcomes of additional surgery that may be necessary after revision TKA.The potential value of Internet-based follow-up coupled with standing radiographs for identifying symptoms of mechanical failure cannot be overstated. A number of patients whose implants are failing may deny knee symptoms that are reflective of implant failure, and this can only be reconciled by obtaining concurrent weightbearing radiographs of the knee. Complementing the questionnaire with standing radiographs will effectively identify the occult failures. The administration of periodic questionnaires and standing radiographs at intervals of 12–24 months can be an effective method of surveillance after revision total knee arthroplasty, particularly when there are obstacles to direct annual follow-up. The possibility that the presence of acute pain or swelling can be indicative of deep infection should not be overlooked, and patients with new symptoms should always be scrutinized and evaluated for sepsis or mechanical failure. More... »

PAGES

381-387

Book

TITLE

Revision Total Knee Arthroplasty

ISBN

978-3-319-67342-4
978-3-319-67344-8

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-319-67344-8_26

DOI

http://dx.doi.org/10.1007/978-3-319-67344-8_26

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1093088624


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