Adverse TKA Outcomes: How to Avoid Them, How to Treat Them

You’re cementing the femoral component in what’s been a routine primary total knee arthroplasty (TKA) when the medial condyle fractures. What do you do?

Six weeks after TKA, your patient presents with complaints of knee stiffness and on exam, you find that her range of motion is limited. Why did this happen, and how can you resolve the issue?

RELATED: Register for the 9th Annual ICJR South Hip & Knee Course

Your patient had good range of motion shortly after undergoing TKA, but now he says he “doesn’t trust” his knee. After a thorough exam, you suspect flexion instability. What do you do to correct this?

During a session on adverse outcomes of TKA at the 7th Annual ICJR South Hip & Knee Course, 6 surgeons with busy joint replacement practices shared insights on these problems and more, including how they can be avoided and what steps surgeons can take to manage them if they occur.

Click the images below to watch the presentations from this session.

Intraoperative MCL Injury in TKA
Frank R. Kolisek, MD

Intraoperative Patellar Tendon Disruption in TKA
Henry D. Clarke, MD

Intraoperative Fracture in TKA
William J. Long, MD, FRCSC

Stiffness in TKA
Raymond H. Kim, MD

Flexion Instability in TKA
Arlen D. Hanssen, MD

Prolonged Opioid Usage & Narcotic Dependence after TKA
Gwo-Chin Lee, MD