Volume 2, Issue 4, Pages (December 2016)

Slides:

Advertisements

Similar presentations

Management of Bone Defects in Revision Total Knee Arthroplasty

Advertisements

Total knee arthroplasty in multiple sclerosis

Volume 4, Issue 3, Pages (September 2018)

False-negative synovial alpha-defensin

Canted seating of the Stryker Modular Dual Mobility liner within a Trident hemispherical acetabular shell Scott M. Eskildsen, MD, Erik C. Olsson, MD,

Proximal tibiofibular osteoarthritis presenting as pain after total knee arthroplasty treated successfully with fusion of the proximal tibial-fibular.

Volume 3, Issue 3, Pages (September 2017)

Custom titanium sleeve for surgical treatment of mechanically assisted crevice corrosion in the well-fixed, noncontemporary stem in total hip arthroplasty

Colin D. Canham, MD, Christopher Walsh, MD, Stephen J. Incavo, MD

Volume 4, Issue 2, Pages (June 2018)

Volume 4, Issue 2, Pages (June 2018)

Volume 3, Issue 4, Pages (December 2017)

Volume 4, Issue 2, Pages (June 2018)

Volume 4, Issue 3, Pages (September 2018)

Fracture risk of tapered modular revision stems: a failure analysis

Volume 4, Issue 1, Pages (March 2018)

Severe heterotopic ossification and stiffness after revision knee surgery for a periprosthetic fracture Maher Baroudi, MD, Pascale Derome, MD, Michel.

Volume 4, Issue 1, Pages 3-9 (March 2018)

Volume 4, Issue 2, Pages (June 2018)

Volume 4, Issue 4, Pages (December 2018)

Superior rim fracture of a vitamin E-infused highly cross-linked polyethylene (HXLPE) liner leading to total hip arthroplasty revision Brett G. Brazier,

Traumatic anterior knee dislocation after total knee arthroplasty

Combining a hip arthroplasty stem with trochanteric reattachment bolt and a polyaxial locking plate in the treatment of a periprosthetic fracture below.

Volume 4, Issue 3, Pages (September 2018)

A novel use of a tibial cone in a proximal femoral replacement

Lumbar chance fracture after direct anterior total hip arthroplasty

Adverse reaction to metal debris with concomitant incidental crystalline arthropathy in hip arthroplasty Edward J. Testa, BS, Brian J. McGrory, MD Arthroplasty.

Failure of Emperion modular femoral stem with implant analysis

Arthroplasty in organ transplant patients

Bilateral atypical femoral fracture and end-stage arthritis of the hip, treated with total hip arthroplasty Scott M. Sandilands, DO, Jesus M. Villa,

The cyclops lesion after bicruciate-retaining total knee replacement

Total femoral allograft with simultaneous revision total hip and knee arthroplasty: 18 year follow-up Ryan N. Harris, DO, Trevor M. Owen, MD, Joseph.

Unusual presentation of failed metal-on-metal total hip arthroplasty with features of neoplastic process Robert P. Runner, MD, Briggs M. Ahearn, MD,

Volume 4, Issue 1, Pages (March 2018)

Total knee arthroplasty in patients with extra-articular deformity

Erin Honcharuk, MD, Stephen Kayiaros, MD, Lee E. Rubin, MD

Ceramic-on-ceramic bearings total hip arthroplasty in young patients

Bernd Fink, MD, Alexander Mittelstädt, MD

Volume 5, Issue 1, Pages (March 2019)

Volume 5, Issue 1, Pages (March 2019)

Mechanically assisted crevice corrosion of the head-neck taper in a large head metal- on-metal total hip arthroplasty Joseph Moskal, MD, Matthew Stover,

Volume 1, Issue 4, Pages (December 2015)

Volume 2, Issue 4, Pages (December 2016)

Hirokazu Takai, MD, Tomoki Takahashi, MD, PhD Arthroplasty Today

Volume 2, Issue 3, Pages (September 2016)

Total knee arthroplasty in patients with multiple hereditary exostoses

Volume 4, Issue 3, Pages (September 2018)

Florian Dibra, MD, Hari Parvataneni, MD Arthroplasty Today

Antibiotic impregnated total femur spacers: a technical tip

Novel fixation method of a periprosthetic fracture of the acetabulum using burr holes through the retained cup for locking screw fixation James A. Browne,

Volume 4, Issue 4, Pages (December 2018)

Volume 3, Issue 1, Pages 7-11 (March 2017)

Pinnacle polyethylene liner dissociation: a report of 3 cases

Volume 1, Issue 4, Pages (December 2015)

Volume 4, Issue 2, Pages (June 2018)

Kevin T. Hug, MD, Navin D. Fernando, MD, FRCS(C) Arthroplasty Today

Volume 3, Issue 1, Pages (March 2017)

Retrieval analysis of a failed synthetic mesh extensor mechanism reconstruction after total knee arthroplasty Anna Cohen-Rosenblum, MD, Ashley Volaric,

Volume 2, Issue 1, Pages 2-5 (March 2016)

Arthroprosthetic cobaltism associated with cardiomyopathy

Total knee arthroplasty in osteogenesis imperfecta

Joseph T. Moskal, MD, Susan G. Capps, PhD, John A. Scanelli, MD

Volume 3, Issue 4, Pages (December 2017)

Adam I. Edelstein, MD, Duy L. Phan, MD, Scott M. Sporer, MD

Volume 3, Issue 4, Pages (December 2017)

Volume 5, Issue 2, Pages (June 2019)

Total knee arthroplasty in patients with extra-articular deformity

Volume 5, Issue 1, Pages 5-10 (March 2019)

Volume 5, Issue 3, Pages (September 2019)

Volume 5, Issue 2, Pages (June 2019)

Presentation transcript:

Volume 2, Issue 4, Pages 171-175 (December 2016) Removing a well-fixed femoral sleeve during revision total knee arthroplasty J. Ryan Martin, MD, Tyler S. Watters, MD, Daniel L. Levy, BS, Jason M. Jennings, MD, Douglas A. Dennis, MD Arthroplasty Today Volume 2, Issue 4, Pages 171-175 (December 2016) DOI: 10.1016/j.artd.2016.05.005 Copyright © 2016 The Authors Terms and Conditions

Figure 1 Preoperative anteroposterior (AP) (a) and lateral (b) radiographs demonstrating well-fixed implants with good bonding to the porous-coated femoral metaphyseal sleeve. Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 2 Photograph demonstrating the various modular components and connections of the current femoral component; (a) the femoral adapter (which connects to the sleeve via a Morse Taper), (b) the femoral component, and (c) the femoral adapter bolt. Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Intraoperative photograph demonstrating the use of a carbide drill to reduce the head diameter of the femoral adapter bolt (a). The soft tissues are completely covered to lessen passage of metal debris particulate into the wound (b). Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 4 Intraoperative photographs demonstrating removal of the femoral component from the distal femur (a and b). Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Intraoperative photographs demonstrating disruption of the fixation interface of the metaphyseal sleeve, initially with a high-speed pencil tip drill (a) and completed with a straight 0.25-inch osteotome (b). Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 6 Intraoperative photographs demonstrating attachment of the HP Extraction Stem Trial Extractor Adapter and Small Slap Hammer to the femoral sleeve to allow for sleeve removal (a-c). Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions

Figure 7 Photograph of the femoral metaphyseal sleeve after removal. Arthroplasty Today 2016 2, 171-175DOI: (10.1016/j.artd.2016.05.005) Copyright © 2016 The Authors Terms and Conditions