Work

Utilization of an Anteromedial Cortical Window for Tibial Component Removal During Revision Total Knee Arthroplasty

Year: 2025

Type: article

Abstract: Revision total knee arthroplasty often entails removal of well-fixed components. Tibial component removal is particularly challenging due to (I) mechanical barriers that limit circumferential disruption when pegs, keels, or stems are present; (II) restricted access to implant-cement and cement-bone interfaces within the proximal canal; and (III) the proximity of critical structures, including the collateral ligaments, patellar tendon, popliteal artery, and distal femur. We present a novel anteromedial cortical window technique that facilitates removal of well-fixed tibial components by improving access to the implant-cement, burr-cement, and cement-bone interfaces within the proximal tibial metaphysis. This technique is suited for cases not requiring posterolateral exposure, offering a less morbid alternative to tibial tubercle osteotomy with the option for conversion if greater exposure is needed.

Source: Arthroplasty Today

DOI: 10.1016/j.artd.2025.101890

Authors: Bailey J. Ross, Jacob Glassman, Grayson Nour, Jacob M. Wilson, Jose A. Rodriguez, Ajay Premkumar

Institutions: Emory University, Florida State University, Hospital for Special Surgery

Language: English

Topic: Total Knee Arthroplasty Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,500