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Total Knee Arthroplasty pp 249–257Cite as

Bone Loss in Revision Total Knee Arthroplasty

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Abstract

Revision total knee arthroplasty presents several complex challenges for the reconstruction surgeon, including management of bone loss, ligamentous insufficiency, level of constraint and difficulty in achieving lasting fixation. Bone loss in revision total knee arthroplasty may occur as a result of the original disease, the original implant design, technical surgical error at implantation, explantation or the mechanism of failure, e.g. aseptic loosening, infection and polyethylene granuloma. Revision surgery should relieve pain and improve function whilst addressing the reason for failure. Methods of reconstruction include the use of cement; modular metal augmentation of prostheses; custom-made, tumour-type or hinged implants; and bone grafting.

In this chapter, we outline the causes of bone loss, its investigation and classification. The concept of zonal fixation is discussed in depth, and the available reconstruction options are reviewed.

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Author information

Authors and Affiliations

  1. Department of Trauma and Orthopaedics, University Hospital of Wales, Penlan road, Llandough, Cardiff, CF642XX, UK

    Rhidian Morgan-Jones

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  1. Rhidian Morgan-Jones
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Correspondence to Rhidian Morgan-Jones .

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Editors and Affiliations

  1. "La Paz" University Hospital-IdiPaz, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. University College London Hospitals, London, United Kingdom

    Sam Oussedik

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Morgan-Jones, R. (2015). Bone Loss in Revision Total Knee Arthroplasty. In: Rodríguez-Merchán, E., Oussedik, S. (eds) Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-17554-6_22

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  • DOI: https://doi.org/10.1007/978-3-319-17554-6_22

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17553-9

  • Online ISBN: 978-3-319-17554-6

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