Muthusaravanakumar Meignanagure, Yogadeepan Dhakshinamurthi, Sathyamoorthy S Elangovan, Ganesh Ramesh Shetty
{"title":"Revision of Multiple Revised Hinge Total Knee Replacement -a Rare Case Report.","authors":"Muthusaravanakumar Meignanagure, Yogadeepan Dhakshinamurthi, Sathyamoorthy S Elangovan, Ganesh Ramesh Shetty","doi":"10.13107/jocr.2025.v15.i02.5282","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Revision total knee replacements are very common now a days. Most common causes include early total knee replacement and increased life expectancy. Proper pre-operative planning and assessment are crucial for the appropriate management of revision cases.</p><p><strong>Case report: </strong>An 83-year-old gentleman came with a history of right knee pain and instability for past 1 year. He underwent bilateral TKR 20 years back, after which he underwent two revisions for his right knee 5 and 10 years following the first surgery. Intraoperatively, femoral and tibial components were found stable, and only poly wear was noted with hinge breakage and cement mantle interposition; hence, only hinge revision was done.</p><p><strong>Conclusion: </strong>Not all cases of revision need complete component replacement. Addressing intraoperative findings and appropriate management prevents complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 2","pages":"198-202"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11823838/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i02.5282","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Revision of Multiple Revised Hinge Total Knee Replacement -a Rare Case Report.
Introduction: Revision total knee replacements are very common now a days. Most common causes include early total knee replacement and increased life expectancy. Proper pre-operative planning and assessment are crucial for the appropriate management of revision cases.
Case report: An 83-year-old gentleman came with a history of right knee pain and instability for past 1 year. He underwent bilateral TKR 20 years back, after which he underwent two revisions for his right knee 5 and 10 years following the first surgery. Intraoperatively, femoral and tibial components were found stable, and only poly wear was noted with hinge breakage and cement mantle interposition; hence, only hinge revision was done.
Conclusion: Not all cases of revision need complete component replacement. Addressing intraoperative findings and appropriate management prevents complications.
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