TY - JOUR
T1 - The Painful Total Knee Arthroplasty
AU - McDowell, Mitchell
AU - Park, Andrew
AU - Gerlinger, Tad L.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/4/1
Y1 - 2016/4/1
N2 - There are many causes of residual pain after total knee arthroplasty (TKA). Evaluation and management begins with a comprehensive history and physical examination, followed by radiographic evaluation of the replaced and adjacent joints, as well as previous films of the replaced joint. Further workup includes laboratory analysis, along with a synovial fluid aspirate to evaluate the white blood cell count with differential as well as culture. Advanced imaging modalities may be beneficial when the diagnosis remains unclear. Revision surgery is not advisable without a clear diagnosis, as it may be associated with poor results.
AB - There are many causes of residual pain after total knee arthroplasty (TKA). Evaluation and management begins with a comprehensive history and physical examination, followed by radiographic evaluation of the replaced and adjacent joints, as well as previous films of the replaced joint. Further workup includes laboratory analysis, along with a synovial fluid aspirate to evaluate the white blood cell count with differential as well as culture. Advanced imaging modalities may be beneficial when the diagnosis remains unclear. Revision surgery is not advisable without a clear diagnosis, as it may be associated with poor results.
KW - Failed total knee
KW - Painful total knee
KW - Revision total knee arthroplasty
KW - Total knee arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=84953775055&partnerID=8YFLogxK
U2 - 10.1016/j.ocl.2015.09.008
DO - 10.1016/j.ocl.2015.09.008
M3 - Review article
C2 - 26772940
AN - SCOPUS:84953775055
SN - 0030-5898
VL - 47
SP - 317
EP - 326
JO - Orthopedic Clinics of North America
JF - Orthopedic Clinics of North America
IS - 2
ER -