Minimizing Postop Complications of TKA

    Get expert advice on identifying surgical risk factors and high-risk surgical steps in total knee arthroplasty, including how to minimize the risk of ligament and vascular injury, intraoperative fractures, and the incidence of retained foreign objects.

    Orthopaedic surgeons know that infection is one of the more common – and more devastating – complications of total knee arthroplasty (TKA).

    Less-common complications caused by surgical errors during the TKA procedure often receive less attention in the literature, but they can be just as devastating to the patient.

    In presentations from the ICJR’s annual Winter Hip & Knee Course, 4 experts in joint replacement surgery identify patient risk factors and high-risk surgical steps in TKA that can lead to postoperative complications and discuss what surgeons need to know to minimize these risks.

    They also present current treatment options for managing surgical errors, should they occur, to reduce postoperative complications.

    The Resident Cut the MCL!
    Gwo-Chin Lee, MD

    Instability is the leading cause of early revision in TKA, but in some cases, the reason for instability is not readily identifiable.

    Gwo-Chin Lee, MD, from the University of Pennsylvania in Philadelphia, suspects that many cases with an unidentified cause of instability may be traced back to injury of the medial collateral ligament (MCL).

    In this presentation, Dr. Lee identifies patients and surgical steps at risk for iatrogenic MCL injury and lists preventive measures and possible treatment options.

    Click image below to watch the presentation.

    Call Vascular, We Have a Bleeder!
    Joshua T. Carothers, MD

    Although vascular injury during TKA is rare – occurring in only 0.03% to 0.5% of cases – it is associated with serious consequences, such as increased mortality and amputation.

    In this presentation Joshua T. Carothers, MD, from New Mexico Orthopaedics Center for Joint Replacement in Albuquerque, describes the mechanisms of vascular injuries, anatomic danger zones, techniques for minimizing risk of injury, and signs and symptoms of vascular injury.

    Click image below to watch the presentation.

    Carrying a Heavy Mallet: Intraoperative TKA Fracture
    George J. Haidukewych, MD

    Intraoperative fracture during TKA is a rare occurrence, and as a result, little has been published in the orthopaedic literature on these fractures.

    In this presentation George J. Haidukewych, MD, from Orlando Health Orthopedic Institute in Florida, reviews what is known about patient factors, implant designs, and surgical steps that put the patient at higher risk for intraoperative fractures. He also describes techniques for treatment of these fractures.

    Click image below to watch the presentation.

    Retained Foreign Body in the Knee: Drain, Cement, Instruments
    Michael J. Taunton, MD

    Retained foreign objects in TKA are more common than surgeons would like to acknowledge. Fortunately, implementing preventive measures can minimize the problem.

    In this presentation Michael J. Taunton, MD, from Mayo Clinic, Rochester, Minnesota, reviews current strategies for minimizing the risk of retained foreign objects and discusses appropriate treatment strategies.

    Click image below to watch the presentation.