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

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 les

SUBMITTER: Ross BJ 

PROVIDER: S-EPMC12743533 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature