Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Revision TKA — Indications & Techniques

Common indications: aseptic loosening, PJI, instability, stiffness, polyethylene wear, periprosthetic fracture, malalignment. Workup: exclude infection (ESR/CRP ± aspiration); quantify bone loss (AORI). Reconstruction: restore joint line, balance gaps; use stems, augments, cones; match constraint to ligament competence. Constraint ladder: PS → CCK → hinge; use minimum needed. Outcomes depend on accurate diagnosis and restoration of alignment/rotation/soft-tissue balance.

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Common indications: aseptic loosening, PJI, instability, stiffness, polyethylene wear, periprosthetic fracture, malalignment. Workup: exclude infection (ESR/CRP ± aspiration); quantify bone loss (AORI). Reconstruction: restore joint line, balance gaps; use stems, augments, cones; match constraint to ligament competence. Constraint ladder: PS → CCK → hinge; use minimum needed. Outcomes depend on accurate diagnosis and restoration of alignment/rotation/soft-tissue balance.
MCQs

High-yield practice questions

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Question 1

What is the most common indication for revision total knee arthroplasty (RTKA)?

Question 2

Which of the following is a mandatory step before performing revision TKA?

Question 3

What is the recommended serum CRP threshold to indicate a potential periprosthetic joint infection (PJI)?

Question 4

In the context of revision TKA, which of the following is true regarding polyethylene wear?

Question 5

What is the primary purpose of using stems and augments in revision TKA?

Question 6

Which of the following diagnostic criteria for PJI uses a scoring system that includes serum and synovial markers?

Question 7

What is the significance of the 'constraint ladder' in revision TKA?

Question 8

When assessing for instability in a revision TKA, which factor is NOT typically considered?

Question 9

What imaging modality is most useful for assessing 3D bone defects in revision TKA?

Question 10

Which of the following is a rare indication for revising a total knee arthroplasty?