HOW SHOULD I MANAGE THE PATIENT WITH CHRONIC EXTENSOR MECHANISM DEFICIENCY ASSOCIATED WITH A TOTAL KNEE ARTHROPLASTY?

R. Stephen J. Burnett, Robert L. Barrack

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The patient that presents with a chronically deficient extensor mechanism (EM) is one of the most challenging clinical problems in association with TKA revision surgery. We define a deficiency as any extensor lag >30 degrees, in association with symptoms of instability as a result of a dysfunctional or disrupted EM. In our experience, this problem occurs infrequently, in the range of 0.1 to 2.5% of all primary and revision TKA procedures. Attempts at primary repair of the EM are unsuccessful in this chronic patient group, as the disruption typically has been present for >6 months. 1.

Original languageEnglish
Title of host publicationCurbside Consultation in Knee Arthroplasty
Subtitle of host publication49 Clinical Questions
PublisherCRC Press
Pages193-197
Number of pages5
ISBN (Electronic)9781040141328
ISBN (Print)9781556428241
DOIs
StatePublished - Jan 1 2024

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