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Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction

Modular components allow for the precise adjustment of sizing and balancing in knee replacement and are widely used in revision total knee arthroplasty. While they have a significant advantage over monoblock implants, these components may be associated with fretting and corrosion at modular junction...

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Autores principales: Yeramosu, Teja, Ahmad, Waleed, Solanki, Sanam, Satpathy, Jibanananda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633574/
https://www.ncbi.nlm.nih.gov/pubmed/36338288
http://dx.doi.org/10.1016/j.artd.2022.09.011
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author Yeramosu, Teja
Ahmad, Waleed
Solanki, Sanam
Satpathy, Jibanananda
author_facet Yeramosu, Teja
Ahmad, Waleed
Solanki, Sanam
Satpathy, Jibanananda
author_sort Yeramosu, Teja
collection PubMed
description Modular components allow for the precise adjustment of sizing and balancing in knee replacement and are widely used in revision total knee arthroplasty. While they have a significant advantage over monoblock implants, these components may be associated with fretting and corrosion at modular junctions. We report the case of a fracture of a morse taper adapter bolt in a 65-year-old female with a history of multiple revision knee arthroplasties. Only a few cases of fracture of the taper adapter bolt have been previously reported. We reinforce 2 learning points in this report: the utility of magnetic resonance imaging as an aid in diagnosing total knee failure when initial radiographs are unremarkable and the use of techniques such as anterior quadrangular femoral osteotomy when an implant is unable to be removed via conventional techniques.
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spelling pubmed-96335742022-11-05 Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction Yeramosu, Teja Ahmad, Waleed Solanki, Sanam Satpathy, Jibanananda Arthroplast Today Case Report Modular components allow for the precise adjustment of sizing and balancing in knee replacement and are widely used in revision total knee arthroplasty. While they have a significant advantage over monoblock implants, these components may be associated with fretting and corrosion at modular junctions. We report the case of a fracture of a morse taper adapter bolt in a 65-year-old female with a history of multiple revision knee arthroplasties. Only a few cases of fracture of the taper adapter bolt have been previously reported. We reinforce 2 learning points in this report: the utility of magnetic resonance imaging as an aid in diagnosing total knee failure when initial radiographs are unremarkable and the use of techniques such as anterior quadrangular femoral osteotomy when an implant is unable to be removed via conventional techniques. Elsevier 2022-11-01 /pmc/articles/PMC9633574/ /pubmed/36338288 http://dx.doi.org/10.1016/j.artd.2022.09.011 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yeramosu, Teja
Ahmad, Waleed
Solanki, Sanam
Satpathy, Jibanananda
Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title_full Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title_fullStr Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title_full_unstemmed Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title_short Fatigue Failure of Semiconstrained Total Knee Replacement: Magnetic Resonance Imaging Diagnosis With Tips and Tricks for Extraction and Reconstruction
title_sort fatigue failure of semiconstrained total knee replacement: magnetic resonance imaging diagnosis with tips and tricks for extraction and reconstruction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9633574/
https://www.ncbi.nlm.nih.gov/pubmed/36338288
http://dx.doi.org/10.1016/j.artd.2022.09.011
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