You are here

TKA Revision 27487

 
CPT Coding Technique
Indications Complications
Contraindications Follow-up Care / Rehab Protocol
Alternatives Outcomes
Pre-op Planning / Case Card Review References

synonyms: revision TKA, revision total knee arthroplasty, revision knee replacement

TKA Revision CPT

TKA Revision Indications

  • H

TKA Revision Contraindications

TKA Revision Alternatives

  • A

TKA Revision Pre-op Planning

  • A

TKA Revision Technique

  • Mid-line longitudinal incision. Use the most lateral longitudinal parapatellar incision when previous multiple incisions are present. (Vince KG, ICL 1993;42:325)
  • Severe tibial defects (AORI types 2 and 3): metaphyseal fixation with metallic trabecular metal cones or metaphyseal porous coated sleeves.  Other options = cement, structural allograft.
  • Medial proximal tibia soft tissue defect:  Medial gastrocnemius rotational flap.  Must mobilize medial sural arteries to ensure flap remains vascularized (Busfield BT, Clin Orthop Relat Res. 2004 Nov;(428):190-7).  
  •  

TKA Revision Complications

TKA Revision Follow-up care

  • Post-op:
  • 7-10 Days:
  • 3 Weeks:
  • 6 Weeks:
  • 2 Months:
  • 3 Months:
  • 6 Months:
  • 1Yr:

TKA Revision Outcomes

  • (R

TKA Revision Review References

  • Vince KG: Revision knee arthroplasty technique. Instr Course Lect 1993;42:325-339.
  • Song SJ, Detch RC, Maloney WJ, Goodman SB, Huddleston JI 3rd. Causes of instability after total knee arthroplasty. J Arthroplasty. 2014 Feb;29(2):360-4. 
  • Abdel MP, Pulido L, Severson EP, Hanssen AD. Stepwise surgical correction of instability in flexion after total knee replacement. Bone Joint J. 2014 Dec;96-B(12):1644-8. 
  • Parratte S, Pagnano MW. Instability after total knee arthroplasty. J Bone Joint Surg Am. 2008 Jan;90(1):184-94.
  • Haidukewych GJ, Hanssen A, Jones RD. Metaphyseal fixation in revision total knee arthroplasty: indications and techniques. J Am Acad Orthop Surg. 2011 Jun;19(6):311-8. Review. 
  • Long WJ, Scuderi GR. Porous tantalum cones for large metaphyseal tibial defects in revision total knee arthroplasty: a minimum 2-year follow-up. J Arthroplasty. 2009 Oct;24(7):1086-92. 
  • Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. J Bone Joint Surg Am. 2008 Jan;90(1):78-84. 
  • Beckmann NA, Mueller S, Gondan M, Jaeger S, Reiner T, Bitsch RG. Treatment of severe bone defects during revision total knee arthroplasty with structural allografts and porous metal cones-a systematic review. J Arthroplasty. 2015 Feb;30(2):249-53.
  • Markovich GD, Dorr LD, Klein NE, McPherson EJ, Vince KG. Muscle flaps in total knee arthroplasty. Clin Orthop Relat Res. 1995 Dec;(321):122-30.

 

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer