Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty

Revision total knee arthroplasty often necessitates removing well-fixed components. Tibial tray removal is challenging becaue of 1) physical barriers posed by the component pegs, keel, or stem in accessing the implant-bone interface circumferentially and 2) proximity of vulnerable structures includi...

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Main Authors: Rohan Gopinath, MD, Scott Koenig, MD, Aaron Johnson, MD, Farshad Adib, MD, Geoffrey Van Flandern, MD, Sumon Nandi, MD, MBA
Format: Article
Language:English
Published: Elsevier 2021-04-01
Series:Arthroplasty Today
Subjects:
Saw
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344121000169
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spelling doaj-2b6402ebe33d49be8bf76c65d7a2d2482021-05-16T04:23:57ZengElsevierArthroplasty Today2352-34412021-04-018128131Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee ArthroplastyRohan Gopinath, MD0Scott Koenig, MD1Aaron Johnson, MD2Farshad Adib, MD3Geoffrey Van Flandern, MD4Sumon Nandi, MD, MBA5Department of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USADepartment of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USADepartment of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USADepartment of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USADepartment of Orthopedic Surgery, New England Baptist Hospital, Boston, MA, USADepartment of Orthopaedics, University of Maryland Medical Center, Baltimore, MD, USA; Corresponding author. Chief of Adult Reconstruction, 110 S. Paca Street, Suite 300, Baltimore, MD 21201, USA. Tel.: +1 410 683 4107.Revision total knee arthroplasty often necessitates removing well-fixed components. Tibial tray removal is challenging becaue of 1) physical barriers posed by the component pegs, keel, or stem in accessing the implant-bone interface circumferentially and 2) proximity of vulnerable structures including the patellar tendon, collateral ligaments, popliteal artery, and distal femur. In this report, we present a step-by-step technique for removal of a well-fixed tibial component using a single-sided reciprocating saw.http://www.sciencedirect.com/science/article/pii/S2352344121000169SawTibial componentKneeRevisionArthroplasty
collection DOAJ
language English
format Article
sources DOAJ
author Rohan Gopinath, MD
Scott Koenig, MD
Aaron Johnson, MD
Farshad Adib, MD
Geoffrey Van Flandern, MD
Sumon Nandi, MD, MBA
spellingShingle Rohan Gopinath, MD
Scott Koenig, MD
Aaron Johnson, MD
Farshad Adib, MD
Geoffrey Van Flandern, MD
Sumon Nandi, MD, MBA
Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
Arthroplasty Today
Saw
Tibial component
Knee
Revision
Arthroplasty
author_facet Rohan Gopinath, MD
Scott Koenig, MD
Aaron Johnson, MD
Farshad Adib, MD
Geoffrey Van Flandern, MD
Sumon Nandi, MD, MBA
author_sort Rohan Gopinath, MD
title Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
title_short Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
title_full Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
title_fullStr Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
title_full_unstemmed Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty
title_sort single-sided reciprocating saw for tibial component removal during revision total knee arthroplasty
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2021-04-01
description Revision total knee arthroplasty often necessitates removing well-fixed components. Tibial tray removal is challenging becaue of 1) physical barriers posed by the component pegs, keel, or stem in accessing the implant-bone interface circumferentially and 2) proximity of vulnerable structures including the patellar tendon, collateral ligaments, popliteal artery, and distal femur. In this report, we present a step-by-step technique for removal of a well-fixed tibial component using a single-sided reciprocating saw.
topic Saw
Tibial component
Knee
Revision
Arthroplasty
url http://www.sciencedirect.com/science/article/pii/S2352344121000169
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