Diagnosis, Causes and Treatments of Instability Following Total Knee Arthroplasty
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Instability following total knee arthroplasty is one of the major causes of revision surgery. In most cases, it can be prevented by using an appropriate prosthesis and a good surgical technique. Particular attention should be given to confirmation of diagnosis for which thorough history taking, complete physical examination and radiographic evaluation are needed. With regard to treatment, identification of the etiology of instability is crucial for establishing proper treatment plans; instability would persist without correction of the cause of the initial instability. For successful revision surgery, balanced medio-lateral and flexion-extension gaps should be achieved. Constrained or rotating-hinge total knee prosthesis should also be considered as an alternative option for certain subsets of patients with instability.
Abstract
Instability following total knee arthroplasty is one of the major causes of revision surgery. In most cases, it can be prevented by using an appropriate prosthesis and a good surgical technique. Particular attention should be given to confirmation of diagnosis for which thorough history taking, complete physical examination and radiographic evaluation are needed. With regard to treatment, identification of the etiology of instability is crucial for establishing proper treatment plans; instability would persist without correction of the cause of the initial instability. For successful revision surgery, balanced medio-lateral and flexion-extension gaps should be achieved. Constrained or rotating-hinge total knee prosthesis should also be considered as an alternative option for certain subsets of patients with instability.
참고문헌 (37)
- Young Joon Choi, "Long-term Results of Hybrid Total Knee Arthroplasty: Minimum 10-years Follow-up", Knee Surgery and Related Research, 24(2), pp.79~84 (2012), 대한슬관절학회
- Patil SS, "14-year median follow-up using the press-fit condylar sigma design for total knee arthroplasty", J Arthroplasty, 28, pp.1286~1290 (2013)
- Math KR, "Imaging of total knee arthroplasty", Semin Musculoskelet Radiol, 10, pp.47~63 (2006)
- Koh IJ, "Trends in use of total knee arthroplasty in Korea from 2001 to 2010", Clin OrFig thop Relat Res, 471, pp.1441~1450 (2013)
- Koh IJ, "Causes, risk factors, and trends in failures after TKA in Korea over the past 5 years : a multicenter study", Clin Orthop Relat Res, 472, pp.316~326 (2014)
- Bozic KJ, "The epidemiology of revision total knee arthroplasty in the United States", Clin Orthop Relat Res, 468, pp.45~51 (2010)
- Sharkey PF, "Insall Award paper. Why are total knee arthroplasties failing today?", Clin Orthop Relat Res, 404, pp.7~13 (2002)
- Gioe TJ, "Why are total knee replacements revised?: analysis of early revision in a community knee implant registry", Clin Orthop Relat Res, 428, pp.100~106 (2004)
- Mulhall KJ, "Current etiologies and modes of failure in total knee arthroplasty revision", Clin Orthop Relat Res, 446, pp.45~50 (2006)
- Tay KS, "Revision total knee arthroplasty : causes and outcomes", Ann Acad Med Singapore, 42, pp.178~183 (2013)
- Suarez J, "Why do revision knee arthroplasties fail?", J Arthroplasty, 23(6), pp.99~103 (2008)
- Fehring TK, "Knee instability after total knee arthroplasty", Clin Orthop Relat Res, 299, pp.157~162 (1994)
- Rodriguez-Merchan EC, "Instability following total knee arthroplasty", HSS J, 7, pp.273~278 (2011)
- Parratte S, "Instability after total knee arthroplasty", Instr Course Lect, 57, pp.295~304 (2008)
- Vince KG, "The unstable total knee arthroplasty: causes and cures", J Arthroplasty, 21(4), pp.44~49 (2006)
- Meding JB, "Genu recurvatum in total knee replacement", Clin Orthop Relat Res, 416, pp.64~67 (2003)
- Krackow KA, "Recurvatum deformity complicating performance of total knee arthroplasty: a brief note", J Bone Joint Surg Am, 72, pp.268~271 (1990)
- Winiarsky R, "Total knee arthroplasty in morbidly obese patients", J Bone Joint Surg Am, 80, pp.1770~1774 (1998)
- Gonzalez MH, "The failed total knee arthroplasty : evaluation and etiology", J Am Acad Orthop Surg, 12, pp.436~446 (2004)
- Schwab JH, "Flexion instability without dislocation after posterior stabilized total knees", Clin Orthop Relat Res, 440, pp.96~100 (2005)
- Hofmann S, "The painful knee after TKA : a diagnostic algorithm for failure analysis", Knee Surg Sports Traumatol Arthrosc, 19, pp.1442~1452 (2011)
- Aggarwal VK, "Leukocyte esterase from synovial fluid aspirate : a technical note", J Arthroplasty, 28, pp.193~195 (2013)
- Pagnano MW, "Flexion instability after primary posterior cruciate retaining total knee arthroplasty", Clin Orthop Relat Res, 356, pp.39~46 (1998)
- Del Gaizo DJ, "Instability in primary total knee arthroplasty", Orthopedics, 34, pp.e519~e521 (2011)
- Insall JN, "Total knee arthroplasty", Clin Orthop Relat Res, 192, pp.13~22 (1985)
- Laskin RS, "Total knee replacement", pp.41~53 (1991), Springer
- Mihalko WM, "Anatomic and biomechanical aspects of pie crusting posterolateral structures for valgus deformity correction in total knee arthroplasty : a cadaveric study", J Arthroplasty, 15, pp.347~353 (2000)
- Aglietti P, "Total knee arthroplasty using a pie-crusting technique for valgus deformity", Clin Orthop Relat Res, 464, pp.73~77 (2007)
- Favorito PJ, "Total knee arthroplasty in the valgus knee", J Am Acad Orthop Surg, 10, pp.16~24 (2002)
- Krackow KA, "Experience with a new technique for managing severely overcorrected valgus high tibial osteotomy at total knee arthroplasty", Clin Orthop Relat Res, 258, pp.213~224 (1990)
- Clarke HD, "Clinical results in valgus total knee arthroplasty with the"pie crust"technique of lateral soft tissue releases", J Arthroplasty, 20, pp.1010~1014 (2005)
- Easley ME, "Primary constrained condylar knee arthroplasty for the arthritic valgus knee", Clin Orthop Relat Res, 380, pp.58~64 (2000)
- Bugbee WD, "Does implant selection affect outcome of revision knee arthroplasty?", J Arthroplasty, 16, pp.581~585 (2001)
- Scuderi GR, "Revision total knee arthroplasty: how much constraint is enough?", Clin Orthop Relat Res, 392, pp.300~305 (2001)
- Pritsch M, "Surgical treatment of ligamentous instability after total knee arthroplasty", Arch Orthop Trauma Surg, 102, pp.154~158 (1984)
- Leopold SS, "Primary repair of intraoperative disruption of the medical collateral ligament during total knee arthroplasty", J Bone Joint Surg Am, 83, pp.86~91 (2001)
- Nelson CL, "Implant selection in revision total knee arthroplasty", J Bone Joint Surg Am, 85(1), pp.S43~S51 (2003)