Total Knee Replacement for Posttraumatic Arthritis

  • John M. Siliski
  • Frank X. PedlowJr.


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


Total Knee Arthroplasty Total Knee Replacement Tibial Component High Tibial Osteotomy Tibial Tubercle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer-Verlag New York, Inc. 1994

Authors and Affiliations

  • John M. Siliski
  • Frank X. PedlowJr.

There are no affiliations available

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