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
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.