João Correia1, Daniel Kendoff1, Till Orla Klatte2, Thorsten Gehrke1, Mustafa Citak1. 1. Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany. 2. Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Abstract
BACKGROUND: Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement. OBJECTIVE: We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty. METHODS: We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed. RESULTS: Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications. CONCLUSIONS: This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.
BACKGROUND: Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement. OBJECTIVE: We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty. METHODS: We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed. RESULTS: Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications. CONCLUSIONS: This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.
Authors: Vincenzo De Matteo; Felipe Forero; Sophia-Marlene Busch; Philip Linke; Peter Wilhelm; Kristof Rademacher; Thorsten Gehrke; Mustafa Citak Journal: Jt Dis Relat Surg Date: 2022-03-28