Instability after Total Knee Arthroplasty

David Clinton McNabb; Raymond H. Kim; Bryan D. Springer

doi:10.1055/s-0034-1396080

The Journal of Knee Surgery, Table of Contents

J Knee Surg 2015; 28(02): 097-104
DOI: 10.1055/s-0034-1396080

Special Focus Section

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Instability after Total Knee Arthroplasty

David Clinton McNabb

¹Colorado Joint Replacement, Denver, Colorado

,

Raymond H. Kim

¹Colorado Joint Replacement, Denver, Colorado

²Department of Mechanical and Materials Engineering, University of Denver, Denver, Colorado

⁴Department of Orthopaedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia

,

Bryan D. Springer

³OrthoCarolina Hip and Knee Center, Charlotte, North Carolina

⁴Department of Orthopaedic Surgery, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia

› Author Affiliations

Abstract

Total knee arthroplasty (TKA) has shown to portend good long-term survivorship and excellent patient satisfaction. There are various etiologies of failure of a TKA. Instability is a major cause of the need for revision. Often, increased constraint is needed to supplement or perform the function of incompetent ligament and soft tissue structures. Posterior cruciate retaining (PCR) TKA has the least constraint. Posterior cruciate substituting (PS) TKA increases sagittal constraint. Varus–valgus constraint (VVC) adds a marked increase in coronal stability. The ultimate in constraint in TKA is a linked hinged implant. In revision TKA, it is the surgeon's responsibility to implant the prosthesis with the necessary constraint to impart adequate stability.

Keywords

knee - arthroplasty - instability - revision

Full Text

References

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