Percutaneous cementation: a case of a failed treatment of a loose revision total knee arthroplasty.
BACKGROUND
Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement.


OBJECTIVE
We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty.


METHODS
We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed.


RESULTS
Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications.


CONCLUSIONS
This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.
Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany.
João
J
Correia
Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany.
Daniel
D
Kendoff
Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Till Orla
TO
Klatte
Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany.
Thorsten
T
Gehrke
Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany.
Mustafa
M
Citak
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D002484:Cementation / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods
Percutaneous cementation; aseptic loosening; complication; revision surgery; total knee arthroplasty