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Revision Total Knee Arthroplasty pp 301–313Cite as

Total Knee Arthroplasty Following Prior Unicompartmental Replacement

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Abstract

The majority of failed UKAs are revised to TKA. If appropriate indications are met, liner exchange or revision to another UKA are possible, but in general, these procedures have poor longevity and a higher failure rate. Revisions of failed UKA to TKA appear to have a slightly inferior outcome when compared to primary TKA but better outcome than revision TKA. The mechanism of failure and the potential challenges at revision are influenced by the type of implant used, the surgical technique at the time of primary UKA, and patient-related factors. Most revisions can be accomplished using primary TKA systems. However, a system that allows the use of augments, stems, and/or metaphyseal sleeves or cones should be available.

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Authors and Affiliations

  1. Proliance Orthopedic Associates, 4011 Talbot Road S, suite 300, Renton, WA, 98055, USA

    William P. Barrett M.D.

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  1. William P. Barrett M.D.
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Correspondence to William P. Barrett M.D. .

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Editors and Affiliations

  1. Clinical Professor of Orthopedic Surgery, Tufts University School of Medicine, Boston, Massachusetts, USA

    James V. Bono

  2. Professor of Orthopaedic Surgery, Emeritus, Harvard Medical School, Boston, Massachusetts, USA

    Richard D. Scott

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Barrett, W.P. (2018). Total Knee Arthroplasty Following Prior Unicompartmental Replacement. In: Bono, J., Scott, R. (eds) Revision Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67344-8_21

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  • DOI: https://doi.org/10.1007/978-3-319-67344-8_21

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-67342-4

  • Online ISBN: 978-3-319-67344-8

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