The Unhappy Total Knee Replacement

A Comprehensive Review and Management Guide

  • Michael T. Hirschmann
  • Roland Becker

Table of contents

  1. Front Matter
    Pages i-xxvi
  2. Basics Science and Principles in Total Knee Replacement

    1. Front Matter
      Pages 1-1
    2. Richard T. Keller, Andrew A. Amis
      Pages 3-15
    3. Nicolas Pujol, Julien Berhouet, Philippe Boisrenoult, Philippe Beaufils
      Pages 39-45
    4. Brian K. Daines, Douglas A. Dennis
      Pages 47-57
    5. Parag Sancheti, Kailash Patil, Sunny Gugale, Ashok Shyam
      Pages 59-68
    6. Christopher R. Wagner, Michael T. Hirschmann, Ryan A. Beasley
      Pages 69-83
    7. Andrej M. Nowakowski, Patrick Vavken, Geert Pagenstert, Victor Valderrabano
      Pages 85-97
  3. Causes of Pain After Total Knee Replacement

    1. Front Matter
      Pages 115-115
    2. Brian K. Daines, Raymond H. Kim, Douglas A. Dennis
      Pages 117-126
    3. Bernhard Christen
      Pages 127-133
    4. Christian Fabry, Carmen Zietz, Rebecca Dammer, Rainer Bader
      Pages 135-145
    5. Basil Hatz, Michael T. Hirschmann
      Pages 147-153
    6. Hugh B. Waterson, Andrew J. Barnett, Andrew H. Toms
      Pages 155-163
    7. Tomoyuki Matsumoto, Ryosuke Kuroda
      Pages 165-173
    8. Giles R. Scuderi, Prashant P. Deshmane
      Pages 195-205
    9. Geert Pagenstert, Matthias D. Wimmer
      Pages 215-224
    10. Javad Parvizi
      Pages 239-242
    11. Andreas J. Bircher
      Pages 243-255
    12. Frank-Christiaan B. M. Wagenaar, Koen C. Defoort, Vincent J. Busch, Gerard G. Van Hellemondt, Ate B. Wymenga
      Pages 257-275
    13. Enrique A. Testa, Armin Mucha, Michael T. Hirschmann
      Pages 277-283
    14. Victoria A. Brander, S. David Stulberg, Jennifer Kirk
      Pages 285-295
    15. Sebastian Kopf, Christian Stärke, Roland Becker
      Pages 297-305
  4. Patients Evaluation and Diagnostics

    1. Front Matter
      Pages 313-313
    2. Sebastien Lustig, Robert A. Magnussen, Victoria B. Duthon, Elvire Servien, Roland Becker, Michael T. Hirschmann et al.
      Pages 315-326
    3. Jacob T. Munro, Donald S. Garbuz, Nelson V. Greidanus, Bassam A. Masri, Clive P. Duncan
      Pages 327-334
    4. Philipp Henle, Stefan Eggli
      Pages 345-357
    5. Thomas J. Holme, Michael T. Hirschmann, Johann Henckel
      Pages 359-369
    6. Jürgen Ederer, Anna Hirschmann, Michael T. Hirschmann
      Pages 397-405
    7. Ricardo Varatojo, Ricardo Telles de Freitas
      Pages 407-415
    8. Andrew J. Barnett, Hugh B. Waterson, Andrew H. Toms
      Pages 443-450
    9. Rami Joseph Elkhechen, Stephen C. Haskins, Vijay J. Rasquinha, Benjamin George, Aditya V. Maheshwari
      Pages 451-461
  5. Treatment Principles and Options in Revision Surgery

    1. Front Matter
      Pages 463-463
    2. Phil Walmsley, Michael T. Hirschmann, Roland Becker, Ivan J. Brenckel
      Pages 465-470
    3. Helmut Rasch, Flavio Forrer
      Pages 471-476

About this book


Owing to improved understanding of biomechanics and tribology and advances in implant design and treatment technique, total knee arthroplasty (TKA) is considered a very successful treatment for osteoarthritic knees. Nevertheless, a significant minority of patients are unhappy with the outcome, complaining of pain, instability, swelling, or reduced range of motion. This book addresses the need for improved diagnostic and treatment guidelines for this challenging group of patients.

The book opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis, and, in particular, imaging techniques. Furthermore, state of the art diagnostic algorithms are presented that will assist in identifying the source of the problem in individual cases. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of the pitfalls and key points of each treatment. Future perspectives are briefly considered, and a series of cases are presented that cover clinical scenarios frequently encountered in daily clinical practice.

The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in ensuring that patients with an unsatisfactory result of TKA receive the most effective management. The book will also be helpful for general practitioners, physiotherapists, industry technicians, and engineers.


Arthroscopy Diagnostic Algorithm Infection Revision arthroplasty Total knee replacement

Editors and affiliations

  • Michael T. Hirschmann
    • 1
  • Roland Becker
    • 2
  1. 1.Dept. Orthopaedic Surgery & Traumatology, Knee Surgery UnitKantonsspital Baselland (Bruderholz, Liestal, Laufen)BruderholzSwitzerland
  2. 2.Dept. Orthopaedics & TraumatologyHospital BrandenburgBrandenburg/HavelGermany

Bibliographic information

  • DOI
  • Copyright Information Springer International Publishing Switzerland 2015
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Print ISBN 978-3-319-08098-7
  • Online ISBN 978-3-319-08099-4
  • Buy this book on publisher's site