Tkr revision

Post on 07-Feb-2017

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Transcript of Tkr revision

RevisionTKR

AhmedAlqatub4thyearICMSOrtho

CausesofRevisionSurgery

•  Looseningandwear.•  InfecCon.•  Instability.•  SCffness.•  Patellofemoralmaltracking.•  Fracture.

History

•  65yo.•  Obese.•  Indexsurgeryoneyearago.•  Can’twalk.•  Can’tcallanytrauma.(maybedenial)•  OnexaminaCon:–  Instability.

Workup

•  PJI.•  X-rays.

X-ray

Surgery

•  Incision.•  Quad.Snip.•  Safetypin.•  Synovialsamplingsenttolabduringsurgery.•  FiveCssuesamples.•  Femur.•  Tibia.•  CCK.

Fracture

lucky

Learningpoints

•  Prepareeverythingforsurgery.•  FollowthePJIguideline.•  Teamwork.