eMedicine Specialties > Orthopedic Surgery > Knee
Total Knee Arthroplasty: Multimedia
Updated: Apr 14, 2009
Multimedia
![]() | Media file 1: Total knee arthroplasty. A total knee replacement prosthesis before implantation. |
![]() | Media file 2: Total knee arthroplasty. Radiograph demonstrating posttraumatic osteoarthritis. |
![]() | Media file 3: Total knee arthroplasty. Radiograph demonstrating the features of osteoarthritis (same patient as in Image below). |
![]() | Media file 4: Total knee arthroplasty. Photograph of a patient with a varus deformity of the right knee and a valgus deformity of the left knee. |
![]() | Media file 5: Total knee arthroplasty. Lateral radiograph demonstrating severe patellofemoral osteoarthritis. |
![]() | Media file 6: Total knee arthroplasty. Sagittal MRI showing the anterior and posterior cruciate ligaments. |
![]() | Media file 7: Total knee arthroplasty. Skyline view of the patellofemoral joint demonstrating lateral and medial osteophytes and lateral subluxation of the patella. |
![]() | Media file 8: Total knee arthroplasty. Radiograph demonstrating a proximal tibial valgus osteotomy created to off-load the medial compartment of the knee. |
![]() | Media file 9: Total knee arthroplasty. Radiograph demonstrating a distal femoral varus osteotomy. |
![]() | Media file 10: Total knee arthroplasty. Radiograph demonstrating a medial unicompartmental replacement. Note relative preservation of lateral joint compartment. |
![]() | Media file 11: Total knee arthroplasty. Patient on the operating table before surgery. |
![]() | Media file 12: Total knee arthroplasty. Intraoperative photograph showing the trial components with the patella everted. |
![]() | Media file 14: Total knee arthroplasty. Definitive components in situ. |
![]() | Media file 15: Total knee arthroplasty. Satisfactory knee flexion 6 weeks postoperatively. |
![]() | Media file 17: Total knee arthroplasty. Electro-micrograph showing incorporation of bone (red) onto the surface of the hydroxyapatite. |
More on Total Knee Arthroplasty |
| Overview: Total Knee Arthroplasty |
| Workup: Total Knee Arthroplasty |
| Treatment: Total Knee Arthroplasty |
| Follow-up: Total Knee Arthroplasty |
Multimedia: Total Knee Arthroplasty |
| References |
| Further Reading |
| « Previous Page |
References
Deirmengian CA, Lonner JH. What's new in adult reconstructive knee surgery. J Bone Joint Surg Am. Nov 2008;90(11):2556-65. [Medline].
Lee K, Goodman SB. Current state and future of joint replacements in the hip and knee. Expert Rev Med Devices. May 2008;5(3):383-93. [Medline].
Ranawat CS, Flynn WF Jr, Saddler S. Long-term results of the total condylar knee arthroplasty. A 15-year survivorship study. Clin Orthop. Jan 1993;(286):94-102. [Medline].
Chitnavis J, Sinsheimer JS, Clipsham K. Genetic influences in end-stage osteoarthritis. Sibling risks of hip and knee replacement for idiopathic osteoarthritis. J Bone Joint Surg Br. Jul 1997;79(4):660-4. [Medline].
Insall JN, Dorr LD, Scott RD. Rationale of the Knee Society clinical rating system. Clin Orthop. Nov 1989;(248):13-4. [Medline].
Soderman P, Malchau H. Validity and reliability of Swedish WOMAC osteoarthritis index: a self-administered disease-specific questionnaire (WOMAC) versus generic instruments (SF-36 and NHP). Acta Orthop Scand. Feb 2000;71(1):39-46. [Medline].
Rand JA, Ilstrup DM. Survivorship analysis of total knee arthroplasty. Cumulative rates of survival of 9200 total knee arthroplasties. J Bone Joint Surg [Am]. Mar 1991;73(3):397-409. [Medline].
Ritter MA, Herbst SA, Keating EM. Long-term survival analysis of a posterior cruciate-retaining total condylar total knee arthroplasty. Clin Orthop. Dec 1994;(309):136-45. [Medline].
Greene KA, Schurman JR 2nd. Quadriceps muscle function in primary total knee arthroplasty. J Arthroplasty. Oct 2008;23(7 Suppl):15-9. [Medline].
[Best Evidence] Newman J, Pydisetty RV, Ackroyd C. Unicompartmental or total knee replacement: the 15-year results of a prospective randomised controlled trial. J Bone Joint Surg Br. Jan 2009;91(1):52-7. [Medline].
[Best Evidence] Andersen LØ, Husted H, Otte KS, Kristensen BB, Kehlet H. A compression bandage improves local infiltration analgesia in total knee arthroplasty. Acta Orthop. Dec 2008;79(6):806-11. [Medline].
[Best Evidence] Shum CF, Lo NN, Yeo SJ, Yang KY, Chong HC, Yeo SN. Continuous femoral nerve block in total knee arthroplasty: immediate and two-year outcomes. J Arthroplasty. Feb 2009;24(2):204-9. [Medline].
[Best Evidence] Mockford BJ, Thompson NW, Humphreys P, Beverland DE. Does a standard outpatient physiotherapy regime improve the range of knee motion after primary total knee arthroplasty?. J Arthroplasty. Dec 2008;23(8):1110-4. [Medline].
[Best Evidence] Harmer AR, Naylor JM, Crosbie J, Russell T. Land-based versus water-based rehabilitation following total knee replacement: a randomized, single-blind trial. Arthritis Rheum. Feb 15 2009;61(2):184-91. [Medline].
Healy WL, Sharma S, Schwartz B, Iorio R. Athletic activity after total joint arthroplasty. J Bone Joint Surg Am. Oct 2008;90(10):2245-52. [Medline].
Bradbury N, Borton D, Spoo G. Participation in sports after total knee replacement. Am J Sports Med. Jul-Aug 1998;26(4):530-5. [Medline].
Buechel FF. Cementless meniscal bearing knee arthroplasty: 7- to 12-year outcome analysis. Orthopedics. Sep 1994;17(9):833-6. [Medline].
March LM, Cross M, Tribe KL, Lapsley HM, Courtenay BG, Cross MJ, et al. Two knees or not two knees? Patient costs and outcomes following bilateral and unilateral total knee joint replacement surgery for OA. Osteoarthritis Cartilage. May 2004;12(5):400-8. [Medline].
Meneghini RM, Hanssen AD. Cementless fixation in total knee arthroplasty: past, present, and future. J Knee Surg. Oct 2008;21(4):307-14. [Medline].
Further Reading
Related eMedicine topics
Unicompartmental Knee Arthroplasty
Complications of Total Knee Arthroplasty
Ceramic Bearings in Total Joint Arthroplasty
Total Joint Replacement Rehabilitation
Clinical guidelines
Total knee replacement.
ACR Appropriateness Criteria® imaging after total knee arthroplasty.
American Academy of Orthopaedic Surgeons clinical guideline on prevention of symptomatic pulmonary embolism in patients undergoing total hip or knee arthroplasty
Clinical trials
Effectiveness of Minimally Invasive Total Knee Replacement in Improving Rehabilitation and Function
A Study to Evaluate the Safety and Effectiveness of the Exactech Optetrak Rotating Bearing Knee Total Knee System
Keywords
total knee arthroplasty, TKA, total knee replacement, knee replacement, knee replacement surgery, knee surgery, knee pain, osteoarthritis of the knee, total joint arthroplasty, artificial knee


































Multimedia: Total Knee Arthroplasty