Percutaneous cementation: a case of a failed treatment of a loose revision total knee arthroplasty.

BACKGROUND Total joint replacements provide many benefits to patients but expose them to a variety of possible complications. Revision surgery is demanding and associated to a greater number of risks and possible complications than primary joint replacement. OBJECTIVE We describe the unsuccessful technique of percutaneous cementing in a loosened revision total knee arthroplasty. METHODS We report on a 66-year old male patient, admitted to our clinic with a painful left knee, four months after percutaneous cementation without implant exchange of the loosened rotating hinge implant was performed. RESULTS Although less demanding, for the surgeon and the patient, it resulted in a delayed revision surgery. This attempt at avoiding revision surgery could have led to even further complications. CONCLUSIONS This case emphasizes the need to avoid novel techniques on patients, with no previous studies and to refer these patients to specialized joint replacement centers for revision surgery.

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