Complications

1.  Infection

 

Revision TKR InfectedRevision TKR Infected Bone Scan

 

Infected Revision TKR

 

Peters et al J Arthroplasty 2009

- 184 cemented revision TKR with press fit stems

- 7% revision rate for deep infection

- 4 new cases of sepsis, 9 were recurrence of sepsis

 

Management

 

Extremely challenging

- significant bone loss

 

Infection Revision TKR SpacerRevision TKR Infection Spacer

 

2.  Instability

 

Revison TKR Dislocated Hinge APRevision TKR Dislocated HInge Lateral

 

3.  Fracture

 

4.  DVT / PE

 

5.  Bleeding

 

6.  Stiffness

 

7.  Neurovascular injury

 

8.  Pain

 

9.  Extensor mechanism dysfunction

 

Revision TKR Quadriceps RuptureRevision TKR Quadriceps Rupture Lars Ligament Repair

 

10.  Loosening

 

Revision TKR Loosening Hinge APRevision TKR Loosening HInge Lateral