Clinical Orthopaedics and Related Research ®

A Publication of The Association of Bone and Joint Surgeons ®

Knee 433 articles

Articles

How to Treat A Tibial Post Fracture in Total Knee Arthroplasty?

Paul F. Lachiewicz MD

Posterior-stabilized TKAs, which use a polyethylene tibial post to articulate against a metal femoral cam, are used regularly. Reported complications are related to the patellofemoral articulation or the tibial post-cam mechanism. Fracture of the tibial post is an uncommon but disabling complication after posterior-stabilized TKA that requires operative treatment.

Is the Etiology of Pretibial Cyst Formation After Absorbable Interference Screw Use Related to a Foreign Body Reaction?

Guillem Gonzalez-Lomas MD, Ryan T. Cassilly BS, Fabrizio Remotti MD, William N. Levine MD

Arthroscopically assisted anterior cruciate ligament reconstruction using a bioabsorbable tibial fixation screw is occasionally complicated by pretibial cyst formation. The few case reports describing pretibial cyst formation noted several graft types and fixation techniques, making it difficult to establish one etiology. Some literature suggests cysts form from communication between the joint and pretibial area leading to extravasation of joint fluid, maturing into a cyst. We propose the development of cysts after PLLA screw use may be related to a foreign body reaction.

Modified Hybrid Stem Fixation in Revision TKA is Durable at 2 to 10 Years

Alexander P. Sah MD, Sanjai Shukla MD, Craig J. Della Valle MD, Aaron G. Rosenberg MD, Wayne G. Paprosky MD

Hybrid revision knee component fixation, in which cement is placed in the metaphysis combined with a cementless diaphyseal engaging stem, provides ease of insertion, possibly improved component alignment, and easier removal if required, compared with fully cemented prostheses. The literature suggests the technique has a 2 to 5 year survivorship ranging from 81% to 94%.

Sex Differences in Factors Influencing Recovery from Arthroscopic Knee Surgery

Patricia H. Rosenberger PhD, Firdaus S. Dhabhar PhD, Elissa Epel PhD, Peter Jokl MD, Jeannette R. Ickovics PhD

Many factors affect recovery from arthroscopic partial meniscectomy, including patient sex. However, sex differences in time to maximal recovery of knee function and factors influencing differential rates of recovery are unknown.

Incidence and Reasons for Nonrevision Reoperation After Total Knee Arthroplasty

Benjamin Zmistowski BS, Camilo Restrepo MD, Lauren K. Kahl BS, Javad Parvizi MD, FRCS, Peter F. Sharkey MD

A dramatic increase in the demand for TKA is expected. The current burden of revision TKA is well known but the incidence and etiology of nonrevision reoperations after primary TKA is not.

Wear Damage in Mobile-bearing TKA is as Severe as That in Fixed-bearing TKA

Natalie H. Kelly BS, Rose H. Fu BS, Timothy M. Wright PhD, Douglas E. Padgett MD

Mobile-bearing TKAs reportedly have no clinical superiority over fixed-bearing TKAs, but a potential benefit is improved polyethylene wear behavior.

What is the Evidence for Total Knee Arthroplasty in Young Patients?: A Systematic Review of the Literature

James A. Keeney MD, Selena Eunice OTR, MS, Gail Pashos BS, Rick W. Wright MD, John C. Clohisy MD

TKA is commonly performed to treat advanced inflammatory and degenerative knee arthritis. With increasing use in younger patients, it is important to define the best practices to enhance clinical performance and implant longevity.

Popliteus Tendon Resection During Total Knee Arthroplasty: An Observational Report

Thomas J. Kesman MD, MBA, Kenton R. Kaufman PhD, Robert T. Trousdale MD

The contribution provided by the popliteus tendon in patients undergoing TKA is poorly defined. Some authors believe the popliteus tendon is essential to a well-functioning arthroplasty, while others do not believe it provides a critical function.

Liner Exchange and Bone Grafting: Rare Option to Treat Wear & Lysis of Stable TKAs

John J. Callaghan MD, Eric R. Reynolds, Nicholas T. Ting BA, Devon D. Goetz MD, John C. Clohisy MD, William J. Maloney MD

Liner exchange and bone grafting are commonly performed for wear and osteolysis around well-fixed modular acetabular components that otherwise would require structural allografting and revision THA. However, liner exchange in the face of substantial lysis around TKA has been performed rarely with reports of failure rates of up to 25% at 3 year followup.

In Vivo Normal Knee Kinematics: Is Ethnicity or Gender an Influencing Factor?

Filip Leszko MSc, Kristen R. Hovinga MS, Amy L. Lerner PhD, Richard D. Komistek PhD, Mohamed R. Mahfouz PhD

In vivo studies have suggested Caucasians achieve lower average knee flexion than non-Western populations. Some previous studies have also suggested gender may influence condylar AP translation and axial rotation, while others report an absence of such an influence.