@article{Di Benedetto_Buttironi_Giardini_Mancuso_Cainero_Causero_2020, title={Total knee revision arthroplasty: comparison between tibial tubercle osteotomy and quadriceps snip approach. Complication rate.}, volume={91}, url={https://mattioli1885journals.com/index.php/actabiomedica/article/view/9705}, DOI={10.23750/abm.v91i4-S.9705}, abstractNote={<p>Background and aim of the work: The total knee arthroplasty (TKA) revision is not a second time<br>of primary implant surgery but is a very complex issue for orthopedic surgeon. When local conditions make<br>necessary a greater visualization, medial para-patellar access with quadriceps snip (QS) or the osteotomy of the<br>tibial tuberosity (TTO) can be the solutions. This work aims to compare the quadriceps snip and the detachment<br>of the tibial tubercle, focusing on possible complications. Materials and Methods: At our institution,<br>between January 2017 and February 2019 52 TKA revision for periprosthetic joint infection (PJI) or aseptic<br>mobilization were performed. In 43 cases an extensive surgical approach was required: for patients with range<br>of movement (ROM) < 60° was chosen TTO, while with ROM > 60° a QS was performed. Clinical and radiological<br>follow-up was available for all the 43 cases. Results: The data about clinical outcome in our study show<br>that both groups have a positive trend in KSS score over time with similar ROM results. Two partial avulsions<br>of patellar tendon during revision surgery were reported. Clinical outcome in both groups has shown good<br>results at the end of follow-up with no post-operative incidence of complications. Conclusion: We can assert<br>that both QS and TTO are good approach for TKA revision. Future studies will be needed to understand if<br>preparatory ROM is a good way to decide which surgical approach to use.(www.actabiomedica.it)</p>}, number={4-S}, journal={Acta Biomedica Atenei Parmensis}, author={Di Benedetto, Paolo and Buttironi, Michele and Giardini, Piero and Mancuso, Francesco and Cainero, Vanni and Causero, Araldo}, year={2020}, month={May}, pages={146–151} }