The Journal of Bone and Joint Surgery (American). 2006;88:80-84.
doi:10.2106/JBJS.F.00825
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Surgical Management of Symptomatic Instability Following Failed Primary Total Knee Replacement

Theodore P. Firestone, MD and Robert W. Eberle

Corresponding author:
Theodore P. Firestone, MD
The Joint Replacement Center of Scottsdale, P.C., and The Firestone Medical
Research Foundation, 10250 North 92nd Street, Medical Plaza 1, Suite 202,
Scottsdale, AZ 85258. E-mail address: DrFirestone@JRCScottsdale.com

The first 150 words of the full text of this article appear below.


   Introduction
 
In 2006, the most common reason for revision total knee replacement within five years after the index procedure is symptomatic instability1,2. What was once considered to be pain of unknown origin is now frequently recognized as pain due to instability of the knee replacement3. Successful treatment of pain at the site of an unstable replacement begins with the identification of patients who are truly symptomatic because of instability, followed by conservative management and, when necessary, surgical intervention.

In the present study, we attempted to identify the clinical parameters related to the history and physical examination that led to the diagnosis of instability following a primary total knee replacement. In addition, a detailed radiographic analysis was performed to help to identify the patient at risk and postoperative radiographs were assessed in an attempt to quantify the changes made intraoperatively.


   Materials and Methods
 
Between 1994 and 2003, the senior author (T.P.F.) performed 322 . . . [Full Text of this Article]


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