SURGICAL APPROACHES DURING KNEE REVISION ARTHROPLASTY
T. A. Kulyaba , N. N. Kornilov , A. V. Selin , P. Y. Zasulsky , V. L. Razorenov , I. I. Kroitoru , A. I. Petukhov , A. V. Kazemirsky , V. L. Ignatenko , A. V. Saraev
Traumatology and Orthopedics of Russia ›› 2011, Vol. 17 ›› Issue (2) : 16 -21.
SURGICAL APPROACHES DURING KNEE REVISION ARTHROPLASTY
The authors analyzed the results of different surgical approaches during 144 revision TKA. The need in extension of standard approach appeared in 24 (22,2%) patients: Coonse-Adams in 9 (8,3%), tibial tuberosity osteotomy in 6 (5,6%), quadriceps snip in 4 (3,7%) and combination of two lateral approaches to the distal femur and the knee in 5 (4,6%) patients with distal femur fracture for simultaneous osteosynthesis and implant revision. During revision TKA method of choice is the standard approach to the knee. Extensive approaches allow better visualization during surgery but may compromise knee function.
knee joint / revision arthroplasty / surgical approaches
| [1] |
1. Barrack, R.L. Specialized surgical exposure for revision total knee / R.L. Barrack // Instr. Course Lect. – 1999. – Vol. 48. – P. 149–152. |
| [2] |
2. Clarke, H.D. Revision total knee arthroplasty: planning, management, controversies and surgical approaches / H.D. Clarke, G.R. Scuderi // Instr. Course Lect. – 2001. – Vol. 50. – P. 359–365. |
| [3] |
3. Coonse, K. A new operative approach to the knee joint / K. Coonse, J.B. Adams // Surg. Gynecol. Obstet. – 1943. – Vol. 77. – P. 344–347 . |
| [4] |
4. Della Valle, C.J. Surgical exposures in revision total knee arthroplasty / C.J. Della Valle, R.A. Berger, A.G. Rosenberg // Clin. Orthop. – 2006. – N 446. – P. 59–68. |
| [5] |
5. Elkus, M. Total knee arthroplasty for severe valgus deformity. Five to fourteen-year follow-up / M. Elkus [et al.] // J. Bone Joint Surg. – 2004. – Vol. 86-A. – P. 2671–2676. |
| [6] |
6. Engh, G.A. Medial epicondylar osteotomy: a technique used with primeri and revision total knee arthroplasty to improve surgical exposure and correct varus deformity / G.A. Engh // Instr. Course Lect. – 1999. – Vol. 48. – P. 153–156. |
| [7] |
7. Engh, G.A. Results of total knee arthroplasty with medial epicondylar osteotomy to correct varus deformity / G.A. Engh, D.J. Ammeen // Clin. Orthop. – 1999. – N 367. – P. 141–148. |
| [8] |
8. Lahav, A. The “banana peel” exposure method in revision total knee arthroplasty / A. Lahav, A.A. Hofmann // Am. J. Ortop. – 2007. – Vol. 36, N 10. – P. 526–529. |
| [9] |
9. McLaughlin, H.L. Lesions of the musculotendinous cuff of the shoulder. The exposure and treatment of tears with retraction. 1944 / H.L. McLaughlin // Clin. Orthop. – 1994. – N 304. – P. 3–9. |
| [10] |
10. Meek, R.M. The extensive rectus snip exposure in revision of total knee arthroplasty / R.M. Meek, N.V. Greidanus, W.L. McGraw, B.A. Masri // J. Bone Joint Surg. – 2003. – Vol. 85-B. – P. 1120–1122. |
| [11] |
11. Mendes, M.W. The results of tibial tubercle osteotomy for revision total knee arthroplasty / M.W. Mendes, P. Caldwell, W.A. Jiranek // Arthroplasty. – 2004. – Vol. 19 – P. 167–174. |
| [12] |
12. Roehring, G. Surgical exposure for the complex revision total knee arthroplasty / G. Roehring, M. Kang, G. Scuderi // Techn. Knee Surg. – 2009. – Vol. 8, N 3. – P. 154–160. |
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