Removing a well-fixed femoral sleeve during revision total knee arthroplasty

Abstract The following surgical technique describes a case of a 51-year-old man with severe juvenile rheumatoid arthritis that required a 2-stage revision of an infected revision total knee implant. The patient had previously been implanted with a revision rotating platform, constrained condylar dev...

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Bibliographic Details
Published in:Arthroplasty today 2016-12, Vol.2 (4), p.171-175
Main Authors: Martin, J. Ryan, MD, Watters, Tyler S., MD, Levy, Daniel L., BS, Jennings, Jason M., MD, Dennis, Douglas A., MD
Format: Article
Language:English
Subjects:
Femoral sleeve
Infection
Orthopedics
Removal techniques
Revision total knee arthroplasty
Surgical Technique
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Description
Summary:Abstract The following surgical technique describes a case of a 51-year-old man with severe juvenile rheumatoid arthritis that required a 2-stage revision of an infected revision total knee implant. The patient had previously been implanted with a revision rotating platform, constrained condylar device which gained excellent fixation through the use of diaphyseal-engaging stems, and a well-ingrown, fully porous-coated femoral metaphyseal sleeve. To avoid intraoperative complications while removing the femoral sleeve, a novel technique for femoral sleeve extraction was used. Using this technique, the femoral sleeve was successfully removed without intraoperative fracture or substantial bone loss.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2016.05.005