January 2015: Revision TKA for osteolysis : Dr. Simon Coffey
75 yr Female Total Knee Arthroplasty 2004 Excellent Function until 2013 Acute onset Pain Xrays Tibial Osteolysis Radiolucent zone tibial prosthesis bone interface Suggests Tibial Component Loosening Diagnosis Polyethylene induced tibial component loosening and osteolysisDifferentialChronic Periprosthetic Infection Management Exclude InfectionCRP, ESR, FBC – All normalTc99 Bone ScanIncreased periprosthetic uptake in proximal tibiaJoint AspirationNot performed as […]