title: Revision total knee arthroplasty using a custom tantalum implant in a patient following multiple failed revisions.
abstract: The number of revision total knee arthroplasty procedures performed annually is increasing and, subsequently, so is the number of patients presenting following a failed revision. Rerevising a total knee arthroplasty after one or more failed revision procedures presents many challenges, including diminished bone stock for prosthetic fixation. "Off the shelf" implants may not offer the best alternative for reconstruction. We present the case of a 55-year-old patient who required a rerevision total knee arthroplasty following multiple failed revisions with severe femoral and tibia bone loss. We describe a novel technique we employed to improve component fixation within the compromised bone stock.
authors.affiliation: Florida Atlantic University, Boca Raton, FL, USA.
authors.forename: Colin A
authors.initials: CA
authors.lastname: McNamara
authors.affiliation: Jackson Memorial Hospital, Miami, FL, USA.
authors.forename: Raúl G
authors.initials: RG
authors.lastname: Gösthe
authors.affiliation: Cleveland Clinic Florida, Weston, FL, USA.
authors.forename: Preetesh D
authors.initials: PD
authors.lastname: Patel
authors.affiliation: University of Tennessee, Chattanooga, TN, USA.
authors.forename: Kristopher C
authors.initials: KC
authors.lastname: Sanders
authors.affiliation: Cleveland Clinic Florida, Weston, FL, USA.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Huaman
authors.affiliation: Cleveland Clinic Florida, Weston, FL, USA.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Suarez
keywords: Custom trabecular metal cone; Interlocking revision stem; Novel technique; Revision TKA; Trabecular metal cone