Course Lecture Pearls: Advanced Knee-Patellofemoral-It’s Not Over_ TKA Outcomes Following Ligament, Osteotomy, and Cartilage Surgery-Faculty Lecture

It’s Not Over_ TKA Outcomes Following Ligament, Osteotomy, and Cartilage Surgery-Faculty Lecture_ Christopher W. Uggen, MD

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Video Transcription

Video Summary

Chris Ugan discusses total knee arthroplasty (TKA) as a solution when other treatments fail, emphasizing thorough preoperative planning and preparation. Key challenges include ligament laxity, retained hardware, bone loss, and previous surgeries like ligament reconstructions, osteotomies, and allografts. Intraoperative navigation and a comprehensive surgical toolkit, including broken screw removal sets and constraint implants, are vital. Outcomes show increased revisions and complexity after ligament reconstructions but generally good Knee Society scores. Osteotomy patients show excellent long-term results, though patella baja in opening wedge osteotomies may cause stiffness. Prior allografts pose higher revision risks, especially in younger patients with multiple surgeries. Patient management and preparedness are essential.

Keywords

Total Knee Arthroplasty

Ligament Laxity

Intraoperative Navigation

Osteotomy Outcomes

Revision Risk