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Traumatic Disorders of the Knee pp 397–407Cite as

Total Knee Replacement for Posttraumatic Arthritis

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Abstract

Primary total knee arthroplasty has become a commonly performed surgical procedure, with approximately 213,000 primary knee replacements done in the United States in 1992.1 The results of primary knee arthroplasty have provided greater than 95% satisfactory initial results.2–7 The long-term durability of primary knee arthroplasty has also been very gratifying, with a relatively low failure and revision rate. The success of primary knee arthroplasty is due to a number of factors, including improvements in implant design and materials, understanding of lower limb alignment, instruments and surgical techniques for bone preparation and ligament balancing, and postoperative management. Most primary total knee arthroplasties are done in patients with osteoarthritis or rheumatoid arthritis. Most commonly, these patients do not have surgical scars, malalignment, instability, and bone defects that can complicate and compromise knee arthroplasty. These types of problems are, however, encountered frequently in patients who have undergone previous major reconstructive surgery of the knee, such as osteotomy above or below the joint and previous knee arthroplasty that has failed for any of multiple reasons.8–10 It is known that patients with previous osteotomy and arthroplasty require extra planning in preparation for surgery, and that the outcomes of these types of revision surgeries, especially major revision total knee arthroplasty, are not as good as for primary knee arthroplasty.11–16

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Authors
  1. John M. Siliski
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  2. Frank X. Pedlow Jr.
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Editor information

Editors and Affiliations

  1. Wang Ambulatory Care Center, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA

    John M. Siliski M.D.

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© 1994 Springer-Verlag New York, Inc.

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Siliski, J.M., Pedlow, F.X. (1994). Total Knee Replacement for Posttraumatic Arthritis. In: Siliski, J.M. (eds) Traumatic Disorders of the Knee. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-4310-6_24

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  • DOI: https://doi.org/10.1007/978-1-4612-4310-6_24

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-8733-9

  • Online ISBN: 978-1-4612-4310-6

  • eBook Packages: Springer Book Archive

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