Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Instability after TKA

Accounts for ~20% of TKA revisions. Types: extension instability, flexion instability, mid-flexion instability, recurvatum. Causes: ligament imbalance, component malposition, polyethylene wear, PCL incompetence. Diagnosis: clinical exam, stress radiographs, CT for component position. Management: revision TKA with constrained implants as per instability type.

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Accounts for ~20% of TKA revisions. Types: extension instability, flexion instability, mid-flexion instability, recurvatum. Causes: ligament imbalance, component malposition, polyethylene wear, PCL incompetence. Diagnosis: clinical exam, stress radiographs, CT for component position. Management: revision TKA with constrained implants as per instability type.
MCQs

High-yield practice questions

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Question 1

What percentage of total knee arthroplasties (TKA) are revised due to instability?

Question 2

Which of the following is a common cause of coronal plane instability after TKA?

Question 3

What clinical test is used to evaluate coronal plane instability in TKA?

Question 4

Which type of instability is characterized by a flexion gap larger than the extension gap?

Question 5

What is the primary management strategy for coronal instability due to ligament imbalance?

Question 6

In flexion instability, which anatomical feature is often the cause of the problem?

Question 7

What imaging modality is useful in diagnosing component position in cases of TKA instability?

Question 8

What is a common clinical feature of extension instability after TKA?

Question 9

Which of the following causes mid-flexion instability?

Question 10

What is the recommended management for flexion instability related to excessive posterior tibial slope?