systematic analysis of painful total knee prosthesis, a diagnostic algorithm

Systematic Analysis of Painful Total Knee Prosthesis, a Diagnostic Algorithm

Systematic analysis of painful total knee prosthesis, a diagnostic algorithm.

Remaining pain after total knee arthroplasty (TKA) is a common observation in about 20% of postoperative patients; where in about 60% of these knees require early revision surgery within five years. Obvious causes of this pain could be identified simply with clinical examinations and standard radiographs. However, unexplained painful TKA still remains a challenge for the surgeon. The management...

Painful knee prosthesis: surgical approach.

There are many conditions that may be responsible of a painful knee prosthesis. The possible causes are not always easily diagnosed. Common causes of prosthetic failure, such as aseptic loosening, infection, instability, progressive patellar arthropathy and recurrent synovitis are associated with clearly defined radiographic and/or clinical evidence. Prosthetic infection should always be consid...

Diagnostic Algorithm for Residual Pain After Total Knee Arthroplasty.

Although total knee arthroplasty is a successful and cost-effective procedure, patient dissatisfaction remains as high as 50%. Postoperative residual knee pain after total knee arthroplasty, with or without crepitation, is a major factor that contributes to patient dissatisfaction. The most common location for residual pain after total knee arthroplasty is anteriorly. Because residual pain has ...

Evaluation of patients with a painful total knee replacement.

Evaluation of patients with painful total knee replacement requires a thorough clinical examination and relevant investigations in order to reach a diagnosis. Awareness of the common and uncommon problems leading to painful total knee replacement is useful in the diagnostic approach. This review article aims to act as a guide to the evaluation of patients with painful total knee replacement.

Results of total knee replacement using a cemented stemmed prosthesis.

OBJECTIVE To present the results of total knee replacement at the King Abdul-Aziz University Hospital in Jeddah, Kingdom of Saudi Arabia (KSA). METHODS The medical records of 205 patients who received 309 prostheses was reviewed. The study took place at King Abdul-Aziz University Hospital, Jeddah, KSA between May 1989 and August 2005, where patients were either examined in the outpatient clin...