Percutaneous cementation: A case of a failed treatment of a loose revision total knee arthroplasty

Article type: Research Article

Authors: Correia, João^a | Kendoff, Daniel^a | Klatte, Till Orla^{a; b} | Gehrke, Thorsten^a | Citak, Mustafa^{a; *}

Affiliations: [a] Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Hamburg, Germany | [b] Department of Trauma, Hand and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

Correspondence: [*] Corresponding author: Mustafa Citak, Department of Orthopaedic Surgery, Helios ENDO Klinik Hamburg, Holstenstrasse 222767 Hamburg, Germany. Tel.: +49 40 3197 1649; Fax: +49 40 3197 0; E-mail: [email protected].

Abstract: Background:Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement. Objective:We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty. Methods:We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed. Results:Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications. Conclusions:This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.

Keywords: Percutaneous cementation, aseptic loosening, complication, total knee arthroplasty, revision surgery

DOI: 10.3233/THC-140810

Journal: Technology and Health Care, vol. 22, no. 4, pp. 645-650, 2014