Orthonotes
Orthonotes
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v4.1 Fusion X
v4.1 Fusion X
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.
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