The Multiply Revised Knee: Techniques for What to Do Next. Academic Article uri icon

Overview

abstract

  • The multiply revised total knee arthroplasty (TKA) poses unique surgical challenges. Patients who present to the office with a failed TKA or revision TKA expect durable, long-term fixation and improved function, yet bone loss and extensor mechanism insufficiency can easily complicate the reconstruction. The aim of this American Association of Hip and Knee Surgeons symposium is to provide up-to-date guidance for re-revision TKA with a specific focus on 1) safe exposure; 2) improved fixation with impaction grafting; 3) improved fixation using porous metal structural augmentation; and 4) managing the patella. After reviewing this paper, the reader should feel comfortable with standard and extensile exposures of a revision knee arthroplasty, understand the technique and outcomes for impaction bone grafting and the use of porous metal augmentation, and develop an algorithm for treating and optimizing patellofemoral kinematics through augmentation and reconstruction techniques.

publication date

  • April 7, 2026

Identity

Digital Object Identifier (DOI)

  • 10.1016/j.arth.2026.03.098

PubMed ID

  • 41956415