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- W2790229214 abstract "Obtaining adequate exposure is key to optimising outcomes in revision total knee arthroplasty. Goals of the exposure include protecting the extensor mechanism, safe removal of the components that are in place and implantation of the revision components. Challenges to these goals include prior skin incisions, arthrofibrosis, and patella baja.Choosing a skin incision is the first important step. The blood supply to the skin is predominantly derived MEDIALLY and thus the most LATERAL skin incision that works for obtaining exposure is selected. If skin flaps are required, they MUST be full thickness as the blood supply to the skin runs deep just over the fascial layer and partial thickness flaps risk skin necrosis. Avoid acute angles between old skin incisions of <60 degrees and skin bridges, if necessary, must be at least 6cm in width.The work-horse of revision TKA is the medial parapatellar approach. It includes a generous medial release that allows the surgeon to externally rotate and deliver the tibia by ..." @default.
- W2790229214 created "2018-03-29" @default.
- W2790229214 creator A5056944448 @default.
- W2790229214 date "2018-02-21" @default.
- W2790229214 modified "2023-09-26" @default.
- W2790229214 title "EXPOSURE OPTIONS FOR THE REVISION KNEE: GETTING THERE SAFELY" @default.
- W2790229214 hasPublicationYear "2018" @default.
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