Percutaneous cementation: a case of a failed treatment of a loose revision total knee arthroplasty

Technol Health Care. 2014;22(4):645-50. doi: 10.3233/THC-140810.

Abstract

Background: Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement.

Objective: We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty.

Methods: We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed.

Results: Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications.

Conclusions: This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.

Keywords: Percutaneous cementation; aseptic loosening; complication; revision surgery; total knee arthroplasty.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Knee / adverse effects*
  • Cementation / adverse effects
  • Cementation / methods
  • Humans
  • Knee Prosthesis
  • Male
  • Postoperative Complications*
  • Prosthesis Failure*
  • Reoperation / methods