scholarly journals Nontraumatic Fracture of the Femoral Condylar Prosthesis in a Total Knee Arthroplasty Leading to Mechanical Failure

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Girish N. Swamy ◽  
Conal Quah ◽  
Elmunzar Bagouri ◽  
Nitin P. Badhe
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Sudden Onset ◽  
Left Knee ◽  
Mechanical Failure ◽  
Metallic Component ◽  
Prosthesis Revision ◽  
History Of ◽  
Total Knee ◽  
Revision Prosthesis

This paper reports a case of fatigue fracture of the femoral component in a cruciate-retaining cemented total knee arthroplasty (TKA). A 64-year-old man had undergone a primary TKA for osteoarthritis 10 years previously at another institution using the PFC-Sigma prosthesis. The patient recovered fully and was back to his regular activities. He presented with a history of sudden onset pain and locking of the left knee since the preceding three months. There was no history of trauma, and the patient was mobilizing with difficulty using crutches. Radiographs revealed fracture of the posterior condyle of the femoral prosthesis. Revision surgery was performed as an elective procedure revealing the broken prosthesis. The TC3RP-PFC revision prosthesis was used with a medial parapatellar approach. The patient recovered fully without any squeal. Mechanical failure of the knee arthroplasty prosthesis is rare, and nontraumatic fracture of the femoral metallic component has not been reported before.

scholarly journals Fracture of the Tibial Baseplate 16 Years after Miller-Galante II Total Knee Arthroplasty

2017 ◽  
Vol 2017 ◽  
pp. 1-7
Author(s):  
Kazuaki Mineta ◽  
Masahiko Okada ◽  
Soshi Matsumoto ◽  
Daisuke Hamada ◽  
Tomohiro Goto ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Base Plate ◽  
Causative Factor ◽  
Left Knee ◽  
Correct Alignment ◽  
History Of ◽  
Total Knee ◽  
The Right ◽  
Primary Implantation

We report a rare case of tibial baseplate fracture of Miller-Galante II (MG II) prosthesis. We examine the factors that may cause such late fracture and review the literature on radiographic analysis and retrieval studies. A 76-year-old woman, who had undergone bilateral MG II total knee arthroplasty due to rheumatoid arthritis 16 years earlier, presented to our department with a 3-month history of left knee pain. Plain radiographs revealed severe distortion of the medial tibial component. During revision knee arthroplasty, we observed severe metallosis in the knee joint, polyethylene insert deformation, and posteromedial coronal baseplate fracture. After removal of the fractured tray, a bone deficit due to osteolysis was noted. The revision prosthesis (LCCK, Zimmer-Biomet) was implanted uneventfully. Four months after revision surgery, the patient was ambulating and had no complications. The implants on the right side had survived without complications for 17 years. We speculate that the primary causative factor of the fatigue fracture of the base plate due to loss of bony support most likely secondary to osteolysis was varus malalignment at primary implantation. This case highlights the importance of paying close attention to the correct alignment of each component at primary implantation.

History of Total Knee Arthroplasty

Knee Surgery ◽  
2014 ◽  
pp. 1-1
Author(s):  
Michael Kelly ◽  
Yair Kissin
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
History Of ◽  
Total Knee

The History of Total Knee Arthroplasty

2022 ◽  
pp. 3-14
Author(s):  
Ioannis Gkiatas ◽  
Thomas P. Sculco ◽  
Peter K. Sculco
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
History Of ◽  
Total Knee

The Risk Factors of Postoperative Delirium after Total Knee Arthroplasty

2016 ◽  
Vol 30 (06) ◽  
pp. 600-605 ◽  
Author(s):  
Lih Wang ◽  
Sungsoo Kim ◽  
Kyungtaek Kim ◽  
Seunghyun Lee ◽  
Kyungho Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Knee Arthroplasty ◽  
Hospital Stay ◽  
Knee Arthroplasty ◽  
Operating Time ◽  
Start Time ◽  
Duration Of Hospital Stay ◽  
History Of ◽  
Total Knee ◽  
Underlying Diseases

AbstractWe investigated the results of delirium which developed after total knee arthroplasty (TKA) and the risk factors for delirium in the patients who are older than 65 years. From March 2008 to March 2012, we performed a retrospective study on 296 knees of 265 patients who were treated with TKA. They were divided into two groups: 216 patients without delirium and 49 patients diagnosed with delirium by psychiatry. We analyzed the risk factors into three categories: First, the preoperative factors including gender, age, body mass index (BMI), clinical and functional knee joint score (Knee Society Knee Score and Knee Society Function Score) and the number of underlying diseases and associations with each disease; Second, the operative factors including the anesthesia method, amount of blood loss, operating time, laboratory factors, and transfusion count; Third, the postoperative factors such as start time of walking and duration of hospital stay were analyzed. There were significant statistical difference between two groups just in age, history of dementia, cerebrovascular disease, difference of hemoglobin and albumin, start time of walking, and duration of hospital stay. The delirium after TKA delays the postoperative ambulation and extends the hospital stay, which causes functional and socioeconomic loss of patients. Therefore, the risk factors for delirium should be assessed and proper prevention and management should be conducted.

Mechanical failure of modern total knee arthroplasty

2011 ◽  
Vol 22 (3) ◽  
pp. 236-240 ◽  
Author(s):  
Nitin Goyal ◽  
Bryan Hozack ◽  
Javad Parvizi
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Mechanical Failure ◽  
Total Knee

scholarly journals Crystal Arthropathy in the Setting of Total Knee Arthroplasty

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Joseph C. Brinkman ◽  
Kade S. McQuivey ◽  
Justin L. Makovicka ◽  
Joshua S. Bingham
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Joint Infection ◽  
Ground Level ◽  
Fracture Dislocation ◽  
Acute Gout ◽  
Orthopedic Surgeons ◽  
History Of ◽  
Total Knee ◽  
Gout Flare

We present a case of an 82-year-old female with a history of right total knee arthroplasty 11 years prior. She was admitted after a ground-level fall and developed progressive pain and swelling of her right knee. She had no history of complications with her total knee replacement. Radiographs of the knee and hip were negative for acute fracture, dislocation, or hardware malalignment. Knee aspiration was performed and revealed inflammatory exudate, synovial fluid consistent with crystal arthropathy, and no bacterial growth. She was diagnosed with an acute gout flare, and her symptoms significantly improved with steroids and anti-inflammatory treatment. Orthopedic surgeons should be aware of the potential for crystal arthropathy in the setting of total joint arthroplasty and evaluate for crystals before treating a presumed periprosthetic joint infection.

scholarly journals History of Condylar Total Knee Arthroplasty

10.5772/28203 ◽  
2012 ◽  
Author(s):  
Luca Amendola ◽  
Domenico Tigani ◽  
Matteo Fosco ◽  
Dante Dallari
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
History Of ◽  
Total Knee

scholarly journals Three-dimensional printed porous tantalum prosthesis for treating inflammation after total knee arthroplasty in one-stage surgery – a case report

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051989128
Author(s):  
Fuyou Wang ◽  
Hao Chen ◽  
Pengfei Yang ◽  
Aikeremujiang Muheremu ◽  
Peng He ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Chronic Inflammation ◽  
Knee Arthroplasty ◽  
Three Dimensional ◽  
Bone Defects ◽  
Left Knee ◽  
Severe Osteoporosis ◽  
Porous Tantalum ◽  
3D Printed ◽  
Total Knee

Chronic inflammation and bone defects after total knee arthroplasty are a challenge for the orthopedic surgeon. There have been few reports on application of a three-dimensional (3D) printed porous tantalum prosthesis in such situations. We report an 83-year-old female patient who presented to our clinic with consistent pain of the left knee for 10 years and a severe decline in mobility for 2 years. Chronic inflammation, loosening of a tibial prosthesis with a bone defect, and severe osteoporosis were diagnosed. The patient was treated with computer designed and manufactured, personalized, 3D printed porous pure tantalum pad-assisted left total knee arthroplasty. The surgery went smoothly and the patient achieved a satisfactory recovery after surgery. A 3D printed porous tantalum prosthesis can be used to reconstruct tibial bone defects in patients with chronic inflammation after joint replacement surgeries.

scholarly journals Total Knee Arthroplasty in a Case of Tuberculosis Knee in Healing Stage: Is it Safe?

2015 ◽  
Vol 49 (3) ◽  
pp. 139-142
Author(s):  
Ashok Kumar ◽  
Sanjay Yadav ◽  
Chandra Shekhar Yadav ◽  
Nishikant Kumar
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
Left Knee ◽  
Single Stage ◽  
Histopathological Analysis ◽  
Local Health ◽  
Patient Counseling ◽  
Early Disease ◽  
Hip Joint Replacement ◽  
Total Knee

ABSTRACT Background Association of tuberculosis and total hip joint replacement (THR) is described with or without antitubercular treatment (ATT) cover but total knee arthroplasty (TKA) in early disease in single-stage is uncommonly reported. We wish to share our clinical experience in such a case. Case description A 22-year-old male presented with pain and swelling of left knee for 7 months. It was drained at local health facility with sinus development. Tuberculosis was diagnosed by clinic-radiological evaluation and ATT was started. Sinus healed but disabling pain and knee stiffness with flexion deformity persisted. Radiographs revealed destructive osteoarticular arthritis with periarticular osteopenia. Debridement followed by TKA in single-stage was done with posterior-stabilized implant. Postoperative period was uneventful. Histopathological analysis confirmed chronic granulomatous synovitis with caseation necrosis suggestive of mycobacterial infection. After 1-year, ATT was discontinued and patient was disease-free. Clinical relevance Single-stage prosthetic knee joint arthroplasty can be safely performed under adequate ATT coverage in early disease provided response to medical treatment is good. Patient counseling regarding compliance with ATT and postoperative protocol is important in ensuring success. How to cite this article Yadav S, Yadav CS, Kumar N, Kumar A. Total Knee Arthroplasty in a Case of Tuberculosis Knee in Healing Stage: Is it Safe? J Postgrad Med Edu Res 2015;49(3): 139-142.

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