Revision of Failed UKA to Computer Assisted TKA by Dr. Anoop Jhurani

Description

The provided transcript outlines a detailed surgical procedure for revising a failed partial knee replacement, specifically converting a unicompartmental knee arthroplasty (UKA) to a total knee arthroplasty (TKA). The speaker discusses the advantages and disadvantages of different knee replacement types, including mobile bearing (Oxford) and fixed bearing (Zouk, Journey) implants. Emphasis is placed on the importance of kinematic analysis in avoiding complications during surgery and implementing robotic assistance for precision in bone cutting and alignment.



The progression of the procedure is carefully narrated, highlighting factors like mechanical axis deviations and the approach to managing bone loss during revision. The surgeon provides insights on maintaining the integrity of the patient's knee structure while addressing existing issues, such as varus deformity and tibial defects. Guidance is given on using navigation systems to ensure accurate cuts and balancing the knee’s alignment and stability.



Throughout the narration, various technical details related to instruments, bone preparation, and techniques for ensuring optimal positioning and joint line maintenance are shared. The transcript concludes with encouraging outcomes for the patient post-revision surgery, reinforcing the significance of a systematic and well-planned surgical approach.

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