Skip to main content

Revision Total Knee Arthroplasty

  • Chapter
  • First Online:
Knee Surgery using Computer Assisted Surgery and Robotics

Abstract

Total knee arthroplasty (TKA) is one of the most successful orthopaedic procedures performed today. This is due to the substantial pain relief and restoration of function after TKA. As result of its success [15, 21], indications for TKA have included younger and more active patients. Therefore, the number of revision TKAs is also rising with a projected increase of 601 % from 2005 to 2030 [14]. Although the results of primary TKAs are well documented with implant survivorship at 15 years greater than 95 % [29], the results of revision procedures are less predictable and encouraging with an 82 % survivorship at 12 years. Predominant revision failure modes include infection (46 %), aseptic loosening (19 %) and instability (13 %) [28].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Barrack RL (2002) Rise of the rotating hinge in revision total knee arthroplasty. Orthopedics 25:1020–1058

    PubMed  Google Scholar 

  2. Barrack RL, Lyons TR, Ingraham RQ et al (2000) The use of a modular rotating hinge component in salvage revision total knee arthroplasty. J Arthroplasty 15:858–866

    Article  PubMed  CAS  Google Scholar 

  3. Bellemans J (2004) Restoring the joint line in revision TKA: does it matter? Knee 11:3–5

    Article  PubMed  CAS  Google Scholar 

  4. Bourne RB, Crawford HA (1998) Principles of revision total knee arthroplasty. Orthop Clin North Am 29(2):331–337

    Article  PubMed  CAS  Google Scholar 

  5. Cameron HU, Hu C, Vyamont D (1997) Hinge total knee replacement revisited. Can J Surg 40:278–283

    PubMed  CAS  Google Scholar 

  6. Dennis DA (2007) A stepwise approach to revision total knee arthroplasty. J Arthroplasty 22:32–39

    Article  PubMed  Google Scholar 

  7. Figgie HE, Goldberg VM, Heipel KG, Miller HS, Gordon NH (1986) The influence of tibial patellofemoral location on function of the knee in patients with the posterior stabilized knee prosthesis. J Bone Joint Surg Am 68A:1035–1040

    Google Scholar 

  8. Fuchs S, Sandmann C, Gerdemann G et al (2004) Quality of life and clinical outcome in salvage revision total knee replacement: hinged vs. total condylar design. Knee Surg Sports Traumatol Arthrosc 12:140–143

    Article  PubMed  Google Scholar 

  9. Gofton WT, Tsigaras H, Butler RA et al (2002) Revision total knee arthroplasty: fixation with modular stems. Clin Orthop 404:158–168

    Article  PubMed  Google Scholar 

  10. Griffin FM, Math K, Scuderi GR, Insall JN, Poilvache PL (2000) Anatomy of the epicondyles of the distal femur: MRI analysis of normal knees. J Arthroplasty 15(3):354–359

    Article  PubMed  CAS  Google Scholar 

  11. Hoeffel DP, Rubash HE (2000) Revision total knee arthroplasty: current rationale and techniques for femoral component revision. Clin Orthop Relat Res 380:116–132

    Google Scholar 

  12. Jerosch J, Peuker E, Philipps B, Filler T (2002) Interindividual reproducibility 27 in perioperative rotational alignment of femoral components in knee prosthetic surgery using the transepicondylar axis. Knee Surg Sports Traumatol Arthrosc 10(3):194–197

    Article  PubMed  CAS  Google Scholar 

  13. Krackow KA (2002) Revision total knee replacement ligament balancing for deformity. Clin Orthop Relat Res 404:152–157

    Article  PubMed  Google Scholar 

  14. Kurtz S, Ong K, Lau E, Mowat F, Halpern M (2007) Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 89:780–785

    Article  PubMed  Google Scholar 

  15. Lachiewicz PF, Soileau ES (2006) Ten year survival and clinical results of constrained components in primary total knee arthroplasty. J Arthroplasty 21:803

    Article  PubMed  Google Scholar 

  16. Laskin R (2002) Joint line position restoration during revision total knee replacement. Clin Orthop 404:169–171

    Article  PubMed  Google Scholar 

  17. Marcacci M, Nofrini L, Iacono F et al (2007) A novel computer-assisted surgical technique for revision total knee arthroplasty. Comput Biol Med 37(12):1771–1779

    Article  PubMed  Google Scholar 

  18. Mountney J, Karamfiles R, Breidahl W, Farrugia M, Sikorski JM (2007) The position of the joint line in relation to the trans-epicondylar axis of the knee: complementary radiologic and computer-based studies. J Arthroplasty 22(8):1201–1207

    Article  PubMed  Google Scholar 

  19. Neyret P, Robinson AH, Le Coultre B, Lapra C, Chambat P (2002) Patellar tendon length – the factor in patellar instability? Knee 9(1):3–6

    Article  PubMed  Google Scholar 

  20. Partington PF, Sawhney J, Rorabeck CH, Barrack RL, Moore J (1999) Joint line restoration after revision total knee arthroplasty. Clin Orthop 367:165–171

    PubMed  Google Scholar 

  21. Pradhan NR, Gambhir A, Porter ML (2006) Survivorship analysis of 3234 primary total knee arthroplasties implanted over a 26-year period: a study of eight different implant designs. Knee 13:7–11

    Article  PubMed  CAS  Google Scholar 

  22. Ries MD, Haas SB, Windsor RE (2004) Soft-tissue balance in revision total knee arthroplasty. Surgical technique. J Bone Joint Surg Am 86-A(Suppl 1):81–86

    PubMed  Google Scholar 

  23. Romero J, Seifert B, Reinhardt O, Ziegler O, Kessler O (2010) A useful radiologic method for preoperative joint-line determination in revision total knee arthroplasty. Clin Orthop Relat Res 468(5):1279–83

    Article  PubMed  Google Scholar 

  24. Schneider B, Laubenberger J, Jemlich S et al (1997) Measurement of femoral antetorsion and tibial torsion by magnetic resonance imaging. Br J Radiol 70(834):575–579

    PubMed  CAS  Google Scholar 

  25. Scuderi GR (2001) Revision total knee arthroplasty. How much constraint is enough? Clin Orthop 392:300–305

    Article  PubMed  Google Scholar 

  26. Servien E, Viskontas D, Giuffrè BM, Coolican MR, Parker DA (2008) Reliability of bony landmarks for restoration of the joint line in revision knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 16(3):263–9

    Article  PubMed  Google Scholar 

  27. Stiehl JB, Abbott BD (1995) Morphology of the transepicondylar axis and its application in primary and revision total knee arthroplasty. J Arthroplasty 10:785–789

    Article  PubMed  CAS  Google Scholar 

  28. Suarez J, Griffin W, Springer B et al (2008) Why do revision knee arthroplasties fail? J Arthroplasty 23:99–103

    Article  PubMed  Google Scholar 

  29. Vessely MB, Whaley AL, Harmsen WS et al (2006) Long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties. Clin Orthop 452:28

    Article  PubMed  Google Scholar 

  30. Walker PS, Manktelow AR (2001) Comparison between a constrained condylar and a rotating hinge in revision knee surgery. Knee 8:269–279

    Article  PubMed  CAS  Google Scholar 

  31. Westrich GH, Mollano AV, Sculco TP et al (2000) Rotating hinge total knee arthroplasty in severely affected knee. Clin Orthop 379:195–208

    Article  PubMed  Google Scholar 

  32. Windsor RE, Scuderi GR, Moran MC et al (1989) Mechanisms of failure of the femoral and tibial components in total knee arthroplasty. Clin Orthop 248:15–20

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Laura Nofrini .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 ESSKA

About this chapter

Cite this chapter

Iacono, F. et al. (2013). Revision Total Knee Arthroplasty. In: Catani, F., Zaffagnini, S. (eds) Knee Surgery using Computer Assisted Surgery and Robotics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-31430-8_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-31430-8_16

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-31429-2

  • Online ISBN: 978-3-642-31430-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics