TOP 5 MOVES: Dr. Scott Sporer’s Tips for Revision TKA

    The goals of revision total knee arthroplasty (TKA) are to

    • Recreate a stable joint with a neutral mechanical axis in most patients
    • Compensate for bone loss with biologic or metal augments
    • Compensate for soft tissue loss with component constraint
    • Protect the extensor mechanism

    At ICJR’s 12th Annual Winter Hip & Knee Course, Scott M. Sporer, MD, MS, described his top 5 tips and techniques for achieving these objectives, including:

    • Surgical exposure
    • Component removal
    • Balance the flexion/extension space
    • Avoid excessive constraint
    • Pause and consider options if the procedure isn’t going as expected

    RELATED: Register for the 13th Annual Winter Hip & Knee Course

    PRO TIP: Avoid using wedge osteotomes when removing the components. Instead, use a double-sided reciprocating saw and start by removing the component from the femoral side. This will facilitate tibial exposure.

    Click on the image above to hear more from Dr. Sporer.

    Disclosures: Dr. Sporer has disclosed that he receives royalties and research support from and is a paid consultant for DePuy Synthes.