This book addresses the need for improved diagnostic and treatment guidelines for patients in whom total knee arthroplasty (TKA) has had an unsatisfactory outcome. It opens by discussing the basics of TKA and the various causes of failure and pain. Diagnostic aspects are considered in detail, with attention to advances in clinical investigation, laboratory analysis and in particular, imaging techniques. In addition, helpful state of the art diagnostic algorithms are presented. Specific pathology-related treatment options, including conservative approaches and salvage and revision TKA strategies, are then explained, with identification of pitfalls and key points. A series of illustrative cases cover clinical scenarios frequently encountered in daily clinical practice. The evidence-based, clinically focused guidance provided in this book, written by internationally renowned experts, will assist surgeons in achieving the most effective management of these challenging cases.

1 Anatomy and Biomechanics of the Natural Knee and After TKR
Keller, Richard T. (et al.)
Pages 3-15
2 Biology of the Knee After Total Knee Replacement: Neglected Potential or Source of Failure?
Hirschmann, Michael T.
Pages 17-27
3 There Is an Optimal Rotational Alignment in Total Knee Replacement: Femoral Rotation Does Matter!
Pietsch, Martin (et al.)
Pages 29-38
4 There Is an Optimal Rotational Alignment in Total Knee Replacement: Tibial Rotation Does Matter!
Pujol, Nicolas (et al.)
Pages 39-45
5 Measured Resection and Gap Balancing Technique in TKR
Daines, Brian K. (et al.)
Pages 47-57
6 How Can Preoperative Planning Prevent Occurrence of a Painful Total Knee Replacement?
Sancheti, Parag (et al.)
Pages 59-68
7 Specific Orthopaedic Imaging Analysis Software: Clinical Benefit for TKR Revision Surgeon
Wagner, Christopher R. (et al.)
Pages 69-83
8 Design, Shape, and Materials of Total Knee Replacement
Nowakowski, Andrej M. (et al.)
Pages 85-97
Case Discussion to Chap. 8: Iliotibial Tract Syndrome After Cruciate-Substituting Guided Motion TKR
Christen, Sebastian (et al.)
Pages 99-103
9 Importance of the Patellofemoral Joint for Total Knee Replacement
Iranpour, Farhad
Pages 105-113
10 Avoiding Wound Complications in Total Knee Replacement
Daines, Brian K. (et al.)
Pages 117-126
11 Material Failure of Total Knee Replacement
Christen, Bernhard
Pages 127-133
12 Patterns of Wear in Total Knee Replacement
Fabry, Christian (et al.)
Pages 135-145
Case Discussion to Chap. 12: Chronic Pain Due to Metallosis After TKR
Hatz, Basil (et al.)
Pages 147-153
13 Periprosthetic Fractures Following Total Knee Replacement
Waterson, Hugh B. (et al.)
Pages 155-163
14 Malposition and Malorientation After Total Knee Replacement
Matsumoto, Tomoyuki (et al.)
Pages 165-173
15 The Problem of Under-or Oversizing of Total Knee Replacement
Tibesku, Carsten O.
Pages 175-184
Case Discussion to Chap. 15: Stiff Knee Joint After TKR Due to Tight Flexion Gap in Oversized TKR
Christen, Sebastian (et al.)
Pages 185-188
Case Discussion to Chap. 15: Lateral Oversizing of Tibial TKR Component Leading to Chronic Irritation of the Iliotibial Tract
Hatz, Basil (et al.)
Pages 189-194
16 Instability of Total Knee Replacement
Scuderi, Giles R. (et al.)
Pages 195-205
Case Discussion to Chap. 16: Mid-Flexion Instability After TKR Due to Femoral Malrotation
Mucha, Armin (et al.)
Pages 207-213
17 Extensor Mechanism Deficiency in Total Knee Replacement
Pagenstert, Geert (et al.)
Pages 215-224
18 Causes and Diagnosis of Aseptic Loosening After Total Knee Replacement
Higuera, Carlos (et al.)
Pages 225-237
19 Periprosthetic Joint Infection After TKR
Parvizi, Javad
Pages 239-242
20 Allergy and Hypersensitivity to Implant Materials
Bircher, Andreas J.
Pages 243-255
21 Stiffness After Total Knee Replacement
Wagenaar, Frank-Christiaan B. M. (et al.)
Pages 257-275
Case Discussion to Chap. 21: Mechanical Arthrofibrosis
Testa, Enrique A. (et al.)
Pages 277-283
22 Reducing the Impact of Psychological Factors on Outcome
Brander, Victoria A. (et al.)
Pages 285-295
23 Impingement After Total Knee Replacement
Kopf, Sebastian (et al.)
Pages 297-305
24 Chronic Regional Pain Syndrome (Algodystrophy) in Patients After Knee Replacement
Ahmad, Sufian S. (et al.)
Pages 307-311
25 Medical History and Physical Examination
Lustig, Sebastien (et al.)
Pages 315-326
26 Laboratory Analysis in the Assessment of Painful Total Knee Replacement
Munro, Jacob T. (et al.)
Pages 327-334
27 Diagnosis of Periprosthetic Joint Infection After Total Knee Replacement
Aggarwal, Ajay (et al.)
Pages 335-343
28 What Do Radiographs Tell Us?
Henle, Philipp (et al.)
Pages 345-357
29 Determination of Component Orientation and Position in Patients After Total Knee Replacement
Holme, Thomas J. (et al.)
Pages 359-369
30 Magnetic Resonance Imaging in Total Knee Replacement
Heyse, Thomas J.
Pages 371-376
31 Nuclear Medicine Imaging (SPECT/CT) in the Unhappy Total Knee Replacement: A Potential for Better Diagnosis!
Hirschmann, Michael T. (et al.)
Pages 377-396
32 Fluoroscopy and Stress Radiographs Diagnosing Instability in Patients After Total Knee Replacement
Ederer, Jürgen (et al.)
Pages 397-405
33 The Diagnostic Value of Biopsy and Joint Aspiration in Periprosthetic Joint Infection
Varatojo, Ricardo (et al.)
Pages 407-415
34 A Diagnostic Algorithm for Patients with Painful Total Knee Replacement: What to Do When
Hirschmann, Michael T.
Pages 417-433
Case Discussion to Chap. 34: Persistent/Recurrent Pain After TKR Not Always TKR Related
Testa, Enrique A. (et al.)
Pages 435-441
35 Algorithm for the Management of Patients with Painful Total Knee Replacement
Barnett, Andrew J. (et al.)
Pages 443-450
36 Management of Patients with Painful Total Knee Replacement: A Multimodal Approach
Elkhechen, Rami Joseph (et al.)
Pages 451-461
37 Pain After TKR: When Is a Conservative Treatment Beneficial?
Walmsley, Phil (et al.)
Pages 465-470
38 Radiosynoviorthesis in Painful Total Knee Replacement
Rasch, Helmut (et al.)
Pages 471-476
39 Physical Therapy for Persistent Pain After Total Knee Replacement
Gokeler, Alli (et al.)
Pages 477-487
40 Intraoperative Landmarks in Revision Surgery
Becker, Roland
Pages 489-497
41 A Practical Approach to Biopsy, Joint Aspiration, and Diagnostic Arthroscopy
Becker, Roland
Pages 499-506
42 Arthroscopic Treatment of Patellofemoral Soft Tissue Impingement After Total Knee Replacement
Kopf, Sebastian (et al.)
Pages 507-513
43 Exposure for Revision Total Knee Replacement
Duthon, Victoria B. (et al.)
Pages 515-523
44 Treatment of Aseptic Loosening
Elke, Reinhard
Pages 525-535
45 Treatment of Instability After Total Knee Replacement
Becker, Roland
Pages 537-546
46 Algorithm for Treating Infection After TKR
Aggarwal, Ajay (et al.)
Pages 547-557
Case Discussion to Chap. 46: The Ultimate Challenge for the Orthopaedic Surgeon Infection
Ochsner, Peter E. (et al.)
Pages 559-566
47 Cementless Versus Cemented Revision Total Knee Replacement
Heyse, Thomas J. (et al.)
Pages 567-573
48 The Optimal Cementing Technique in Total Knee Replacement
Ahmad, Sufian S. (et al.)
Pages 575-580
49 Use of Stems in Revision Total Knee Replacement
Schwartz, Adam J. (et al.)
Pages 581-591
50 Ligament and Gap Balancing in Revision Total Knee Replacement
Whiteside, Leo A.
Pages 593-610
51 Complications After Revision TKR
Ries, Michael D.
Pages 611-622
Case Discussion to Chap. 51: Patellofemoral Problems After Total Knee Replacement
Mucha, Armin (et al.)
Pages 623-629
52 Joint Line Restoration in Revision Total Knee Replacement
Bellemans, Johan
Pages 631-638
Case Discussion to Chap. 52: Patellofemoral Pain After Cruciate Retaining Total Knee Replacement
Christen, Sebastian (et al.)
Pages 639-642
53 Analysis and Treatment of Anterior Knee Pain After Total Knee Replacement
Pagenstert, Geert (et al.)
Pages 643-652
Case Discussion to Chap. 53: Persistent Anterior Knee Pain After Total Knee Replacement
Becker, Roland
Pages 653-656
54 Constrained Condylar Total Knee Replacement
Becker, Roland (et al.)
Pages 657-662
55 Hinged Implants for Revision Total Knee Replacement
Gehrke, Thorsten (et al.)
Pages 663-669
56 Management of Bone Loss in Revision Total Knee Replacement
Gehrke, Thorsten (et al.)
Pages 671-678
57 Osteotomy of the Tibial Tubercle in Total Knee Replacement Revision Surgery
Becker, Roland (et al.)
Pages 679-685
58 Extensor Apparatus Insufficiencies
Christen, Bernhard (et al.)
Pages 687-700
59 Low-Grade Infection After Total Knee Replacement
Vasso, Michele (et al.)
Pages 701-713
60 Treatment of Infected Total Knee Replacement: Concept, Surgical Options and Antibiotic Therapy
Borens, Olivier (et al.)
Pages 715-727
Case Discussion to Chap. 60: Two-Stage Revision Total Knee Replacement and Significant Femorotibial Bone Loss
Becker, Roland
Pages 729-734
61 Navigated Revision Total Knee Replacement
Zaffagnini, Stefano (et al.)
Pages 735-745
62 Periprosthetic Fracture Treatment in Total Knee Replacement
Bucher, Thomas A. (et al.)
Pages 747-762
Case Discussion to Chap. 62: Rare Femoral Periprosthetic Fracture After Complex TKR Unusual Surgical Solutions
Christen, Bernhard (et al.)
Pages 763-769
63 The Knee Arthroplasty Endgame: Four Options in the Face of Calamity
Vince, Kelly G. (et al.)
Pages 771-795
Case Discussion to Chap. 63: Desarthrodesis to a Total Knee Replacement: A Complication-Prone Procedure!
Rieger, Bertram (et al.)