Removing a well-fixed femoral sleeve during revision total knee arthroplasty.
The following surgical technique describes a case of a 51-year-old man with severe juvenile rheumatoid arthritis that required a 2-stage revision of an infected revision total knee implant. The patient had previously been implanted with a revision rotating platform, constrained condylar device which gained excellent fixation through the use of diaphyseal-engaging stems, and a well-ingrown, fully porous-coated femoral metaphyseal sleeve. To avoid intraoperative complications while removing the femoral sleeve, a novel technique for femoral sleeve extraction was used. Using this technique, the femoral sleeve was successfully removed without intraoperative fracture or substantial bone loss.
Colorado Joint Replacement, Denver, CO, USA.
J Ryan
JR
Martin
Colorado Joint Replacement, Denver, CO, USA.
Tyler S
TS
Watters
Colorado Joint Replacement, Denver, CO, USA.
Daniel L
DL
Levy
Colorado Joint Replacement, Denver, CO, USA.
Jason M
JM
Jennings
Colorado Joint Replacement, Denver, CO, USA.
Douglas A
DA
Dennis
Femoral sleeve; Infection; Removal techniques; Revision total knee arthroplasty