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Introduction: Revision total knee replacements are very common now a days. Most common causes include early total knee replacement and increased life expectancy. Proper pre-operative planning and assessment are crucial for the appropriate management of revision cases.
Case Report: An 83-year-old gentleman came with a history of right knee pain and instability for past 1 year. He underwent bilateral TKR 20 years back, after which he underwent two revisions for his right knee 5 and 10 years following the first surgery. Intraoperatively, femoral and tibial components were found stable, and only poly wear was noted with hinge breakage and cement mantle interposition; hence, only hinge revision was done.
Conclusion: Not all cases of revision need complete component replacement. Addressing intraoperative findings and appropriate management prevents complications.
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http://dx.doi.org/10.13107/jocr.2025.v15.i02.5282 | DOI Listing |
Arch Orthop Trauma Surg
September 2025
Department of Orthopaedic Surgery, Koenig-Ludwig-Haus, University of Wuerzburg, Brettreichstr. 11,, 97074, Wuerzburg, Germany.
Arch Orthop Trauma Surg
September 2025
Adult Reconstruction and Joint Replacement Service, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Background: Differentiating periprosthetic joint infections (PJI) from aseptic failure is challenging in total joint arthroplasty. To date, there is no consensus about the most accurate criteria to diagnose PJI. The current study compares common diagnostic PJI criteria.
View Article and Find Full Text PDFPain
September 2025
Centre for Pain Research, University of Bath, Bath, United Kingdom.
One-fifth of adults who receive a total knee replacement (TKR) go on to develop chronic pain. The behavioural approach taken to find a solution to pain may vary from assimilative (pursuit of analgesia) to accommodative (acceptance of pain insolubility and adoption of alternative goals). A total of 313 patients participated in a trial of an enhanced care pathway for TKR reported pain at 3 months after surgery.
View Article and Find Full Text PDFJ Surg Oncol
September 2025
Orthopedic Oncology Service, Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Background: Hemicondylar fresh frozen allografts address partial knee defects while preserving native anatomy and bone stock. This study evaluated long-term survival, failure modes, and functional outcomes following hemicondylar reconstruction.
Methods: We conducted a retrospective analysis of hemicondylar fresh frozen allograft reconstructions.
Anesthesiology
October 2025
Hospital for Special Surgery, New York, New York.