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Intraoperative Assessment in Revision Total Knee Arthroplasty
by James A. Rand, Michael D. Ries, G. H. Landis, Aaron G. Rosenberg, and S. Haas
J Bone Joint Surg AmVolume 85(suppl 1):S26-S37
January 1, 2003
©2003 by The Journal of Bone and Joint Surgery, Inc.
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The vascular anatomy of the knee skin.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Vascular supply to the skin is through the subdermal plexus.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Figs. 3-A and 3-B Gastrocnemius myocutaneous flap used in prophylactic staged reconstruction.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Healed flap prior to total knee arthroplasty.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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FIgs. 4-A, 4-B, and 4-C Saphenous fasciocutaneous flap used to reconstruct skin, the patella, and the extensor tendon for knee arthrodesis and limb salvage.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Flap.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Flap placed.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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FIgs. 5-A, 5-B, and 5-C Anterolateral thigh free flap used to treat skin compromise and chronic infection.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Flap at the time of removal of the antibiotic spacer.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Healed wound.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
Page 12
A quadriceps snip consists of an oblique incision across the rectus femoris tendon in a proximal-lateral direction.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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The V-Y quadricepsplasty consists of an oblique incision across the rectus femoris tendon in a distal-lateral direction, which can be closed as a Y, lengthening the tendon.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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The bone cut (A) and the exposure achieved and wire placement for closure (B) for the tibial tubercle osteotomy.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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The medial epicondylar osteotomy.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Intraoperative view of a tibial defect after débridement of an osteolytic defect and preparation of bone cuts.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Morselized allograft is packed around the tibial stem to fill the defect.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Type-III bone defect following implant and cement removal.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Structural femoral allograft prepared for revision.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Distal femoral allograft fixed with cables.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.
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Morselized allograft in cavitary bone defects.
James A. Rand et al. J Bone Joint Surg Am 2003;85:S26-S37
©2003 by The Journal of Bone and Joint Surgery, Inc.