Arthroplasty Today (Apr 2021)

Single-Sided Reciprocating Saw for Tibial Component Removal During Revision Total Knee Arthroplasty

  • Rohan Gopinath, MD,
  • Scott Koenig, MD,
  • Aaron Johnson, MD,
  • Farshad Adib, MD,
  • Geoffrey Van Flandern, MD,
  • Sumon Nandi, MD, MBA

Journal volume & issue
Vol. 8
pp. 128 – 131

Abstract

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Revision total knee arthroplasty often necessitates removing well-fixed components. Tibial tray removal is challenging becaue of 1) physical barriers posed by the component pegs, keel, or stem in accessing the implant-bone interface circumferentially and 2) proximity of vulnerable structures including the patellar tendon, collateral ligaments, popliteal artery, and distal femur. In this report, we present a step-by-step technique for removal of a well-fixed tibial component using a single-sided reciprocating saw.

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