Intraoperative Assessment in Revision Total Knee Arthroplasty

Careful intraoperative management of the patient being treated with revision total knee arthroplasty is critical for a successful result. Preoperative and intraoperative considerations must include the condition of the skin and subcutaneous tissues, the mode of operative exposure of the extensor mechanism, the need for component removal, collateral ligament integrity, and bone loss. Each of these components of the planning process and operative treatment must be performed in a meticulous manner. Failure of any component of intraoperative management can compromise the function of the revision total knee replacement.