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General Orthopaedics

THE MULTIPLY REVISED KNEE ARTHROPLASTY: END GAME

Current Concepts in Joint Replacement (CCJR) Winter 2017 Meeting, Orlando, FL, USA, December 2017.



Abstract

The moderator will lead a structured panel discussion that explores how to manage challenges commonly found in the multiply revised knee. Topics covered will include: (1) Exposure in the multiply operated knee (when to use quad snip, tibial tubercle osteotomy, other techniques); (2) Implant removal: Tips for removing stemmed implants; (3) Management of bone loss in multiply operated knees (metal cones/sleeves vs. structural allograft vs. particulate graft); (4) Level of constraint (when to use posterior stabilised, constrained condylar, and hinge) and management of instability in multiply operated knees; (5) Preferred management of infection in the multiply operated knee; (6) The extensor mechanism: Preferred deficient patellar bone management; Preferred extensor mechanism deficiency management; (7) When is it time to convert to a salvage procedure (i.e. fusion, resection arthroplasty, amputation)?; (8) Post-operative management: wound management; knee range of motion.