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23 Impingement After Total Knee Replacement

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The Unhappy Total Knee Replacement

Abstract

Impingement of total knee replacement (TKR) may cause chronic pain and may decrease the survival rate of the implants due to increased wear, osteolysis, and earlier onset of loosening, as well as fractures. Impingement of TKR can occur in every design; however, certain designs seem to be more likely to develop certain types of impingements. In general, three types of TKR impingement are distinguished: (1) soft tissue, (2) bony, and (3) implant-related impingement. Soft tissue impingement includes patellofemoral and anterior impingement. It develops mainly between scar or remnant soft tissue (e.g., meniscus remnants, posterior cruciate ligament, Hoffa fat pad, etc.) and the TKR implants. Bony impingement includes posterior femoral, patellofemoral, patellotibial, and fabella impingement. All three types of impingement can create clinical symptoms such as pain and decreased range of motion. In most cases, surgical therapy is the treatment of choice.

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Authors and Affiliations

  1. Section Sports Traumatology & Arthroscopy, Center for Musculoskeletal Surgery, Charité - University Medicine Berlin, Augustenburger Platz 1, 13353, Berlin, Germany

    Sebastian Kopf MD

  2. Department of Orthopaedic Surgery, University Hospital, Otto-von-Guericke-University, Leipziger Str. 44,, 39120, Magdeburg, Germany

    Christian Stärke MD (Asst. Prof. (PD)

  3. Department of Orthopaedic and Traumatology, Hospital Brandenburg, Hochstrasse 29, 14770, Brandenburg/Havel, Germany

    Roland Becker MD (Prof.)

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  1. Sebastian Kopf MD
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  2. Christian Stärke MD
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  3. Roland Becker MD
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Correspondence to Sebastian Kopf MD .

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Editors and Affiliations

  1. Dept. Orthopaedic Surgery & Traumatology, Knee Surgery Unit, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), Bruderholz, Switzerland

    Michael T. Hirschmann

  2. Dept. Orthopaedics & Traumatology, Hospital Brandenburg, Brandenburg/Havel, Germany

    Roland Becker

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Kopf, S., Stärke, C., Becker, R. (2015). 23 Impingement After Total Knee Replacement. In: Hirschmann, M., Becker, R. (eds) The Unhappy Total Knee Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-08099-4_29

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  • DOI: https://doi.org/10.1007/978-3-319-08099-4_29

  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-08099-4

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