Presentation on theme: "Roberts Conference July 21, 2005. History 64 year old male 6 yrs s/p Left Knee Arthrodesis following TKA Significantly short on affected side "— Presentation transcript:
Roberts Conference July 21, 2005
History 64 year old male 6 yrs s/p Left Knee Arthrodesis following TKA Significantly short on affected side 2 falls resulting in Hip Fractures Successful TKA on Right
Operative Planning Patient Requesting TKA ESR, CRP and WBC all Normal No Swelling or external evidence of infection
Conversion Athrodesis to TKA Kreder et. al: 18 knees 28% failure (infection, component failure) Cameron and Hu: 17 knees 53% failure (tibial component loosening, ligamentous laxity, quad rupture, wound breakdown, repeat athrodesis) Kim et. al: 30 knees 53% failure; mean flexion 75 deg, 9 deg extension deficit Henkel et. al: 7 knees 29% failure; 71% re- operation; most with increased pain on walking Warner: Three phase “Judet quadricepsplasty” to mobilize extensor mechanism.
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