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

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Retrieval analysis of a failed synthetic mesh extensor mechanism reconstruction after total knee arthroplasty  Anna Cohen-Rosenblum, MD, Ashley Volaric, MD, James A. Browne, MD  Arthroplasty Today  Volume 4, Issue 4, Pages 447-451 (December 2018) DOI: 10.1016/j.artd.2018.07.009 Copyright © 2018 The Authors Terms and Conditions

Figure 1 Preoperative anteroposterior (AP) (a), and lateral (b) radiographs demonstrate a well-fixed posterior-stabilized TKA. Sunrise radiograph (c) shows a laterally dislocated patella. A density corresponding to the previously implanted mesh is visible in the trochlear groove of the femoral component. Arthroplasty Today 2018 4, 447-451DOI: (10.1016/j.artd.2018.07.009) Copyright © 2018 The Authors Terms and Conditions

Figure 2 Intraoperative photo of the failed mesh augmentation. Arthroplasty Today 2018 4, 447-451DOI: (10.1016/j.artd.2018.07.009) Copyright © 2018 The Authors Terms and Conditions

Figure 3 The skeletonized and excised synthetic mesh graft. Arthroplasty Today 2018 4, 447-451DOI: (10.1016/j.artd.2018.07.009) Copyright © 2018 The Authors Terms and Conditions

Figure 4 Histologic specimens of the excised mesh show (a) pink fibrous tissue with infiltrating vessels (black arrows) and (b) foreign body giant cell reaction (black arrows) around graft material (white arrows). Arthroplasty Today 2018 4, 447-451DOI: (10.1016/j.artd.2018.07.009) Copyright © 2018 The Authors Terms and Conditions

Figure 5 Postoperative sunrise radiograph. Arthroplasty Today 2018 4, 447-451DOI: (10.1016/j.artd.2018.07.009) Copyright © 2018 The Authors Terms and Conditions