Restoration of Stability, Maintaining Joint Line, Gap Balancing, and Constraint Selection Through the Use of a Trial Cutting Guide

The management of failed TKA can be challenging, but with a systematic approach that includes a thorough history and physical examination along with a radiographic examination, the etiology of the TKA failure can often be determined. The cause of failure is what ultimately dictates what must be done in the revision TKA. This same stepwise and systematic approach to the operation is paramount to success in the revision setting. Having a thorough understanding of these principles provides a foundation for the arthroplasty surgeon to address complex revision TKA cases with successful results.