knee replacement.

15 Knee Replacement Patient Stories and Reviews

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7 Amazing Facts About Artificial Knee Joints You Havent Heard Before

Artificial knee joints are a common treatment for people with severe arthritis or other conditions that cause pain and stiffness in the knee. While many people are familiar with the basics of artificial knee joint surgery, there are a number of amazing facts about these procedures that you may not

infected TKR

A 72-year-old female with a history of diabetes mellitus underwent uncomplicated total knee replacement. She developed wound drainage 3 months postoperatively which was treated by her original surgeon with irrigation and debridement and liner exchange followed by intravenous antibiotics.

painful total knee replacement

A 69-year-old woman underwent uncomplicated total knee replacement. She was being discharged from the rehabilitation center 3 weeks postoperatively. Her daughter, who was driving the car, sustained a seizure, and the patient sustained multiple injuries due to a motor vehicle crash as their car

patellofemoral arthroplasty

A 48-year-old female patient presents with anterior left knee pain. She has had a history of recurrent patellofemoral dislocations as an adolescent that was treated with multiple soft tissue procedures as well as tubercle osteotomy in the past. She underwent patellofemoral arthroplasty 2 years ago

various prosthesis designs and their indications

  A 72-year-old female presents with a 2-year history of progressive knee pain. She has tried braces and anti-inflammatories with limited benefit. Her primary care physician prescribed a course of physical therapy and corticosteroid injections which did not provide pain relief. The patient

Reconstruction Cases knee osteoarthritis

A 57-year-old female presents to the office with atraumatic knee pain. Her pain is worse at the beginning of activities as well as the end of the day. She has trouble ascending and descending stairs. She uses anti-inflammatories intermittently with mild relief. On examination she has pain along the

Surgery of the Hip

Surgery of the Hip       Primary total hip arthroplasty 239&zwnj;&zwnj; Revision total hip arthroplasty 255&zwnj; Hip resurfacing 262&zwnj; Hip arthrodesis 264&zwnj; Excision hip

Surgery of the Knee

  Primary total knee replacement&zwnj;&zwnj;   279   Distal femoral osteotomy   309 Revision total knee replacement&zwnj; 293 Proximal tibial

Management of the Infected Total Hip Prosthesis: The One Staged Approach

Introduction                        The operative management of periprosthetic infection after total hip arthroplasty (THA) remains a challenge procedure to any arthroplasty surgeon.

Preoperative Planning in Primary Total Hip Replacement

Introduction                        Total hip replacement (THR) is widely considered as one of the most successful orthopedic procedures in terms of quality of life and

BASIC SCIENCE ORTHOPEDIC MCQS ONLINE BANK

What assay is commonly used to examine the level of messenger RNA (mRNA) of a particular gene?    Western blot Southern blot Reverse transcription polymerase chain reaction (RT-PCR) Immunocytochemical analysis Enzyme-linked immunosorbent assay

Metaphyseal Porous Metal Cones

Introduction Highly porous metals, particularly porous tantalum, are relatively new biomaterials that offer several advantages over other current conventional materials used for implants due to their uniformity, structural continuity, strength, low stiffness, high porosity, and high

PROSTALAC Articulating Spacer for Infected Total Knee Replacements

P ITFALLS Severe compromise of the soft tissue envelope, severe knee instability, and bone loss severe enough to compromise ﬁxation of the articulating spacer are relative contraindications. However, an articulating spacer can still be used and a brace or cast is applied for the

Monoblock Total Knee Arthroplasty*

P ITFALLS Relative contraindications relate to the difﬁculty in obtaining exposure for tibial insertion:   Preoperative valgus deformities greater than 20°, particularly with associated stiffness   Patella baja, in which tibial exposure

Tibial Component Alignment in Total Knee Arthroplasty: Intramedullary, Extramedullary, and Computer-Assisted Techniques

P ITFALLS Results of each type of alignment are technique dependent, and familiarity with each will reduce component malposition. Each alignment technique has its own apparent pitfalls that must be recognized and compensated for during the procedure. Failure to realize these

Minimally Invasive Total Knee Arthroplasty with Limited Medial Parapatellar Arthrotomy

Introduction Minimally invasive surgery (MIS) for knee arthroplasty began with work on unicondylar knee replacement (Romanowski and Repicci, 2002), and its successful application has encouraged the use of a limited surgical approach in total knee arthroplasty (TKA). The principles of MIS

Valgus Total Knee Replacement

P ITFALLS The techniques described in this procedure have been almost exclusively studied and used in conjunction with posterior-stabilized (PS) implants and are therefore best suited for use with ﬁxed-bearing PS or constrained knee prostheses (Clarke and Scuderi, 2004; Krackow and

Unicompartmental Knee Arthroplasty

P ITFALLS Heavy, active patients. Be careful if the ACL is compromised. ACL deﬁciency is a relative contraindication, but this may be implant dependent.   Signiﬁcant angular deformity or bone loss.   In osteonecrosis, magnetic resonance

Knee Arthrodesis

DEFINITION Knee arthrodesis offers an excellent salvage option for an infected total knee arthroplasty (TKA), periarticular tumor, posttraumatic arthritis, and chronic sepsis in the knee. It is a viable solution that allows for stable and painless lower extremity ambulation. The energy

Revision Total Knee Arthroplasty to Correct Stiffness

DEFINITION At less than 90 degrees of active knee flexion, a total knee arthroplasty (TKA) has inadequate range of motion (ROM) for performing many activities of daily living. The required ROM for daily activities are as follows4,12: Sixty-seven degrees of flexion for normal gait on level

Revision Total Knee Arthroplasty with Extensile Exposure: Tibial Tubercle Osteotomy

DEFINITION Obtaining adequate anterior exposure of the knee can be difficult using standard approaches during revision total knee arthroplasty (TKA). The options available for dealing with difficult exposure include quadriceps snip (done 5 to 8 cm proximal to the superior pole of the

Revision Total Knee Arthroplasty with Tibial Bone Loss: Bone Grafting

DEFINITION Substantial bone loss and bone defects are among the most challenging problems faced by surgeons performing revision knee arthroplasty. Tibial bone loss in failed total knee arthroplasty (TKA) is a complex and difficult problem. Awareness and proper management of bone loss through

Revision Total Knee Arthroplasty with Tibial Bone Loss: Metal Augments

DEFINITION Bone loss and indications for the use of metallic augments in revision total knee arthroplasty (TKA) usually are guided by classification of the bony defect and the intraoperative findings. Probably the most widely used, the Anderson Orthopaedic Research Institute (AORI) bone

Revision Total Knee Arthroplasty with Femoral Bone Loss: Metal Augments

e       DEFINITION The number of revision total knee arthroplasty (TKA) procedures performed is projected to increase at an annual rate of 19.3%.13 Femoral bone defects are uncommon in primary TKA but are very common

Unicondylar Knee Arthroplasty

DEFINITION Unicondylar knee arthroplasty (UKA) is a surgical treatment alternative to total knee arthroplasty (TKA) for replacement of either the medial or lateral tibiofemoral compartment of the knee in selected patients with painful focal arthritis or osteonecrosis.4 The primary

Revision Total Hip Arthroplasty with Femoral Bone Loss: Proximal Femoral Replacement

DEFINITION Proximal femur replacement is a salvage limb-sparing surgery for nononcologic and oncologic indications that in the past used to be treated with a major amputation. The magnitude of complexity of revision reconstruction of the femur depends mainly on the quantity and quality of

Overview of Endoprosthetic Reconstruction

BACKGROUND       Limb salvage—reconstruction following resection of malignant tumors of the extremities—has seen dramatic advances in a relatively brief period of time. The traditional surgical approach to the treatment of sarcoma, namely immediate amputation

Unicompartmental Knee Arthroplasty

  4     P ITFALLS Heavy, active patients. Be careful if the ACL is compromised. ACL deﬁciency is a relative contraindication, but this may be implant dependent.   Signiﬁcant angular deformity or bone loss.   In

Fixation of Periprosthetic Fractures Above Total Knee Arthroplasty

DEFINITION Fractures that occur above or around the femoral component of a total knee arthroplasty (TKA). The rates of periprosthetic fractures for TKA vary. The incidence is reported to be 0.3% to 5.5% after primary TKA and up to 30% after revision

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3C

ORTHOPEDIC MCQS ONLINE QUESTION BANK H3C       Slide 1 Slide 2 Slide 3 Slide 4       Slide 5 A

ORTHOPEDIC MCQS ONLINE QUESTION BANK H1A

ORTHOPEDIC MCQS ONLINE QUESTION BANK  HIA         Slide 1 What is the most likely mechanism of failure for the patellar component shown:   1) Fatigue 3) Tension 2) Shear 5) Delamination 4)

Approaches to the knee

APPROACHES TO THE KNEE   Ten   The Knee       Arthroscopic Approaches to the Knee Arthroscopic Exploration of the Knee Medial Parapatellar Approach Approach for Medial Meniscectomy Medial Approach to the Knee and Its

ORTHOPEDIC MCQS ONLINE OITE 1213 1A

ORTHOPEDIC MCQS ONLINE BANK OITE 22

ORTHOPEDIC MCQS ONLINE BANK OITE 22 FOR OITE 22 FIGURES CLICK OITE22FIG 02.1 answer back A 30-year-old patient sustains an isolated type II open femoral shaft fracture. In addition to irrigation and debridement, management should include 1- skeletal traction. 2-

ORTHOPEDIC MCQS ONLINE BANK OITE 97

ORTHOPEDIC MCQS ONLINE BANK OITE 97 97.1 A 55-year-old woman reports a spontaneous onset of severe pain in her ribs. AP and lateral chest radiographs show severe osteopenia, two rib fractures, and three vertebral compression fractures. Laboratory studies show a hemoglobin level of 9.0

ORTHOPEDIC MCQS BANK OITE 99

ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe

ORTHOPEDIC MCQS BANK OITE98

Orthopaedic In-Training Exam 1998   Question 1 - A patient has a grade 2 open tibial fracture with 70% cross sectional bone loss that extends 2 cm in length. Treatment consists of stabilization with a nonreamed interlocking nail and successful secondary wound closure. Four months

Knee Arthrodesis

      Knee Arthrodesis     DEFINITION Knee arthrodesis is an excellent salvage option for infected total knee arthroplasty (TKA) and for severe trauma about the knee. It is a durable solution that lasts a lifetime and allows for a stable,

Revision Total Knee Arthroplasty to Correct Stiffness

    Revision Total Knee Arthroplasty to Correct Stiffness   DEFINITION At less than 90 degrees of active knee flexion, a total knee arthroplasty (TKA) has inadequate range of motion (ROM) for performing many activities of daily living. The required ranges of

Revision Total Knee Arthroplasty With Extensile Exposure: Tibial Tubercle Osteotomy

    Revision Total Knee Arthroplasty With Extensile Exposure: Tibial Tubercle Osteotomy     DEFINITION Obtaining adequate anterior exposure of the knee can be difficult using standard approaches during revision total knee arthroplasty (TKA). The

Revision Total Knee Arthroplasty With Tibial Bone Loss: Bone Grafting

    Revision Total Knee Arthroplasty With Tibial Bone Loss: Bone Grafting     DEFINITION Substantial bone loss and bone defects are among the most challenging problems faced by surgeons performing revision knee arthroplasty. Tibial bone loss in failed

Revision Total Knee Arthroplasty With Tibial Bone Loss: Metal Augments

  Revision Total Knee Arthroplasty With Tibial Bone Loss: Metal Augments     DEFINITION Bone loss and indications for the use of metallic augments in revision total knee arthroplasty (TKA) usually are guided by classification of the bony

Total Knee Arthroplasty Using Navigation: A Guide for Surgeons

Computer-assisted total knee arthroplasty (CA-TKA) is a surgical procedure that uses computer navigation technology to help surgeons position the implants more accurately. This can lead to better long-term results and a reduced risk of complications. Learn more about CA-TKA at Hutaif

Upper Tibial Osteotomy

      Upper Tibial Osteotomy       DEFINITION Upper tibial osteotomy (high tibial osteotomy [HTO]) has evolved from a procedure used strictly for treating medial compartment arthrosis of the knee to one that has implications in

Unicondylar Knee Arthroplasty

      DEFINITION The knee classically has been divided into three compartments. Unicondylar knee arthroplasty (UKA) is performed for medial or lateral compartment arthritis. Historically, patient selection, surgical technique, and component designs have

Revision Total Hip Arthroplasty With Femoral Bone Loss: Proximal Femoral Replacement

      DEFINITION Proximal femur replacement is a salvage limb-sparing surgery for nononcologic and ongologic indications that in the past were treated with a major amputation. During the past decade remarkable advances in the field of revision hip

ORTHOPEDIC MCQS ONLINE OB 20 RECONSTRUCTION 1D

ORTHOPEDIC MCQS ONLINE OB 20 1D RECONSTRUCTION  A 77-year-old man who had right total knee replacement surgery 2½ years ago has had knee pain since surgery. The pain is diffuse, constant, and made worse with activity. He notes warmth and swelling in his knee. Examination shows

ORTHOPEDIC MCQS ADULT RECONSTRUCTIVE OB 20 1C

ORTHOPEDIC MCQS ONLINE RECON OB 20 1C               2020   A 72-year-old female presents with progressive left thigh and knee pain for the last year. 5 years ago she

ORTHOPEDIC MCQS ONLINE OB 20 2B RECONSTRUCTION

ORTHOPEDIC MCQS ONLINE OB 20 2B RECONSTRUCTION  156) A 66-year-old male undergoes the procedure shown in figures A and B. After 4 years, he develops progressive pain and limitations in his daily function that is refractory to conservative measures. He is indicated for conversion to a

ORTHOPEDIC MCQS ONLINE OB 20 RECONSTRUCTION 1A

ORTHOPEDIC MCQS ONLINE OB 20 2A RECONSTRUCTION  OrthoCash 2020   A 65-year-old woman with painful knee arthritis and the deformity seen in Figure A, is scheduled to undergo a total knee arthroplasty. All the following are risk factors for a post-operative peroneal palsy

ORTHOPEDIC MCQS 010 Adult Reconstructive Surgery of the Hip and Knee Examination 7

ORTHOPEDIC MCQS  010 Adult Reconstructive Surgery of the Hip and Knee Examination 7 2010 Adult Reconstructive Surgery of the Hip and Knee Examination Answer Book • 7   Question 1 During the course of a revision total knee arthroplasty via a medial parapatellar exposure,

ORTHOPEDIC MCQS Adult Reconstructive Surgery of the Hip and Knee013

ORTHOPEDIC MCQS Adult Reconstructive Surgery of the Hip and Knee013 2013 Adult Reconstructive Surgery of the Hip and Knee Self-Assessment Examination by

ORTHOPEDIC MCQS ONLINE 013 BASIC

ORTHOPEDIC MCQS ONLINE 013 BASIC  2013 Orthopaedic Basic Science Self-Assessment Examination by Dr.Dhahirortho     1       Question 1A 70-year-old man is experiencing neck pain, progressive

ORTHOPEDIC MCQS ONLINE RECONSTRUCTION 016

ORTHOPEDIC MCQS ONLINE RECONSTRUCTION 016           NEW 2016 Adult Reconstructive Surgery of the Hip and Knee Self-Assessment Examination للاب

Orthopedic MCQS online Basic 018

Orthopedic MCQS online Basic 018   AAOS BASIC SCIENCE self Assessment 2018     Question 1 of 100 In the context of joint arthroplasty, the alpha-defensin immunoassay test is useful for the detection of aseptic loosening. metal

Orthopedic MCQS RECON0019

Orthopedic MCQS Reconstruction  Adult Reconstructive Surgery of the Hip and Knee Scored and Recorded Self-Assessment Examination 2019       Question 1 What factor is associated with a higher risk of dislocation after total

ORTHO MCQS RECON019

ORTHO MCQS RECON019 Adult Reconstructive Surgery of the Hip and Knee Scored and Recorded Self-Assessment Examination 2019   Question 1 What factor is associated with a higher risk of dislocation after total hip arthroplasty?   A.  Male gender B. 

Orthopedic MCQS online Hip and knee ADULT RECONSTRUCTION

    Orthopedic MCQS online Hip and knee ADULT RECONSTRUCTION    Question 1 During the course of a revision total knee arthroplasty via a medial parapatellar exposure, the surgeon does a complete intra-articular release and synovectomy but exposure is still

ORTHOPEDIC MCQS BANK WITH ANSWER HIP 01

ORTHOPEDIC MCQS BANK WITH ANSWER HIP 01   1.          Figure 1 shows the radiograph of a 68-year-old man who underwent revision hip arthroplasty with impaction grafting of the femur and cementing of a tapered component into the graft 2 years

ORTHOPEDIC MCQS BANK WITH ANSWER PATHOLOGY 02

ORTHOPEDIC MCQS BANK WITH ANSWER PATHOLOGY 02 1.         A 16-year-old boy has had thigh pain for the past several months.  He denies any history of trauma.  Examination reveals a large, deeply fixed, soft-tissue mass in the thigh. 

ORTHOPEDIC MCQS WITH ANSWER HIP 04

ORTHOPEDIC MCQS WITH ANSWER HIP 04 1.         During primary total knee arthroplasty, what is the maximum distance the joint line can be raised or lowered before poor motion, joint instability, and increased chance of revision

ORTHOPEDIC MCQS ONLINE HIP AND KNEE RECON 07

ORTHOPEDIC MCQS ONLINE HIP AND KNEE RECON 07 1.      A patient is scheduled to undergo total knee arthroplasty (TKA) following failure of nonsurgical management.  History reveals that she underwent a patellectomy as a teenager as the result of a motor vehicle

KNEE Structured oralexamination question9: Malalignment of total knee replacement (TKR) components

KNEE Structured oralexamination question9: Malalignment of total knee replacement (TKR) components EXAMINER: Have a look at this image. What can you see? (Figure 3.8.) CANDIDATE: This is a CT scan of the distal femur showing an axial view of the femoral component of TKR. There is a lot of

KNEE Structured oral examination question7: Revision knee replacement

KNEE Structured oral examination question7: Revision knee replacement EXAMINER: Have a look at these images and tell me what you can see. (Figure 3.7.) CANDIDATE: These are AP and lateral radiographs of failed left total knee replacement. The implants appear to be loose with widespread

KNEE Structured oralexamination question4: Unicondylar knee arthroplasty ( UKA ) versus high tibial osteotomy ( HTO )

KNEE Structured oralexamination question4: Unicondylar knee arthroplasty ( UKA ) versus high tibial osteotomy ( HTO ) EXAMINER: This is a radiograph of a 42-year-old man who is a bricklayer. He complains of pain over medial aspect of knee which has failed non-surgical management. He has come to

KNEE Structured oralexamination question3: Infected total knee arthroplasty ( TKA )

KNEE Structured oralexamination question3: Infected total knee arthroplasty ( TKA ) Figures 3.3a and 3.3b Anteroposterior (AP) and lateral radiographs of left TKA. EXAMINER: A 78-year-old lady who underwent left TKA 2 years ago is re ferred to your Painful Arthroplasty Clinic

Hip structured oral questions

Chapter Hip structured oral questions 2   All viva questions outlined here are examples of actual questions asked in the FRCS (Tr & Orth) exam. Currently each viva question lasts 5 minutes and examiners are advised against switching to another topic earlier even if a candidate

Basic Sciences Viva

 Basic Sciences Viva   Basic Sciences  Section 3 Tissue Anatomy and Pathology  Viva 21  Reproduced from C. Bulstrode et al., Oxford Textbook of Trauma and Orthopaedics second edition, 2011, fi gure 1.3.10, p. 25, with

ORTHOPEDICS HYPERGUIDE MCQ 301-350

ORTHOPEDICS HYPERGUIDE MCQ 301-350 301. (2001) Q1-2417: Staphylococcus epidermidis adheres: 1) More strongly to polyethylene 3) Similarly to both polyethylene and alumina ceramic 2) More strongly to alumina ceramic 5) More strongly to polymethylmethacrylate 4) This

ORTHOPEDICS HYPERGUIDE MCQ 101-150

ORTHOPEDICS HYPERGUIDE MCQ 101-150 101. (1651) Q1-2046: After removing a femoral stem, the best way to prevent fracture of the femur is: 1) Debulk the metaphyseal cement 3) TrochanteriCosteotomy 2) Debulk the diaphyseal cement 5) Use a quarter-inch osteotome 4) Remove

Medial Parapatellar Approach

Medial Parapatellar Approach &zwnj; The medial parapatellar approach3 is the workhorse approach to the knee. Extended to its full length, it allows excellent access to most structures. Portions of the incision can be used to gain access to the suprapatellar pouch, the patella, and