Revision Total Knee Arthroplasty

James V. Bono, MD, Clinical Professor of Orthopedic Surgery, Tufts University School of Medicine, Vice Chair for Orthopedics for Medical Education, New England Baptist Hospital, Boston, MA, USARichard D. Scott, MD, Professor Emeritus of Orthopedic Surgery, Harvard Medical School, Former Chief, Joint Arthroplasty Service, New England Baptist and Brigham and Women’s Hospitals, Boston, MA, USA

• Part I. Diagnosis and Evaluation of Revision Total Knee Arthroplasty.- Reoperation after Total Knee Arthroplasty.- Implant Bearings in Total Knee Arthroplasty.- The Painful Total Knee Arthroplasty.- Imaging of Total Knee Arthroplasty.- Part II. General Principles of Revision Total Knee Arthroplasty.- Skin Exposure Issues.- Extensile Exposures for Total Knee Arthroplasty.- Removal of the Femoral and Tibial Components for Revision Total Knee Arthroplasty.- Allograft in Revision Total Knee Arthroplasty.- Modular Augments in Revision Total Knee Arthroplasty.- Metaphyseal Sleeves and Cones in Revision Total Knee Arthroplasty.- Femoral Alignment and Femoral Rotation.- Tibial Malalignment.- The Use of Stems in Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection in Revision Total Knee Arthroplasty.- Management of Extensor Mechanism during Revision Total Knee Arthroplasty.- Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection Through the Use of a Trial Cutting Guide.- Part III. Special Considerations for Revision Total Knee Arthroplasty.- Infection in Total Knee Arthroplasty.- Use of an Antibiotic-Impregnated Spacer in Revision Total Knee Arthroplasty.- Periprosthetic Fractures After Total Knee Arthroplasty.- Total Knee Arthroplasty After Failed High Tibial Osteotomy.- Total Knee Arthroplasty Following Prior Unicompartmental Replacement.- Hinge Implants.- Total Knee Arthroplasty After Fractures About the Knee.- Management of the Stiff Total Knee Arthroplasty.- Aseptic Synovitis.- Prodromes of Failure After Revision Total Knee Arthroplasty.- Assessing the High-Risk Patient for Revision Total Knee Replacement.- Salvage Knee Surgery: Arthrodesis.- Part IV. Future Considerations.- Custom 3D Implants.- Robotic Revision TKA.- Sensor Technology.- Digital Technology.