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Level of constraint in revision knee arthroplasty

  • Revision Knee Arthroplasty (R Rossi, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Revision total knee arthroplasty (TKA) in the setting of major bone deficiency and/or soft tissue laxity might require increasing levels of constraint to restore knee stability. However, increasing the level of constraint not always correlates with mid-to-long-term satisfactory results. Recently, modular components as tantalum cones and titanium sleeves have been introduced to the market with the goal of obtaining better fixation where bone deficiency is an issue; theoretically, satisfactory meta-diaphyseal fixation can reduce the mechanical stress at the level of the joint line, reducing the need for high levels of constraint. This article reviews the recent literature on the surgical management of the unstable TKA with the goal to propose a modern surgical algorithm for adult reconstruction surgeons.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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The authors have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Breyer Center for Overseas Studies, Stanford University in Florence, Stanford, CA, USA

    Pier Francesco Indelli, Nick Giori & William Maloney

  2. Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA

    Pier Francesco Indelli, Nick Giori & William Maloney

  3. VA Palo Alto HCS, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA

    Pier Francesco Indelli, Nick Giori & William Maloney

Authors
  1. Pier Francesco Indelli
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  2. Nick Giori
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  3. William Maloney
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Correspondence to Pier Francesco Indelli.

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This article is part of the Topical Collection on Revision Knee Arthroplasty

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Indelli, P.F., Giori, N. & Maloney, W. Level of constraint in revision knee arthroplasty. Curr Rev Musculoskelet Med 8, 390–397 (2015). https://doi.org/10.1007/s12178-015-9295-6

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  • DOI: https://doi.org/10.1007/s12178-015-9295-6

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