Exam: Bilateral standing legs and knees.
Comparison: None.
Clinical Data: S/P TKR (TOTAL KNEE REPLACEMENT)
Findings:
Bilateral standing legs, single view:
There is a left longstem constrained knee arthroplasty with surrounding
cortical lucency,evaluate in detail on the knee examination below. Mild bilateral genu varum
deformities. There is an unconstrained right total knee arthroplasty with longstem tibial
component andsurrounding cement with lucency along the osseous-cement interface,
evaluated in detail on theknee examination below.
Bilateral knees, 3 views each:
Left knee: There is a left longstem constrained knee arthroplasty with
marked lucency a longosseous-prosthesis interface of both longstem components with marked
thinning of the lateralcortex overlying the tibial longstem component. Small joint effusion.
Right knee: There is a right unconstrained total knee arthroplasty with
longstem tibialcomponent and surrounding cement. There is lucency along the osseous-cement
interface, lateralgreater than medial, measuring up to 1 mm. There is prominent excavation
along the anteriorfemoral osseous-prosthesis interface. There is evidence of old fracture
fragment or bone graftat the apex of the longstem component. Small joint effusion.
Impression:Bilateral standing legs:
1. Bilateral total knee arthroplasties with evidence of hardware loosening,
as detailed below.
2. Mild bilateral genu varum deformities of the knees.
Bilateral knees:
1. Left longstem constrained knee arthroplasty with marked evidence of
loosening of the femoraland tibial longstem components.
2. Right unconstrained total knee arthroplasty with tibial longstem
component and evidence ofloosening surrounding the anterior femoral and longstem components.
Thanks much
Kimberley Tober, CPC
Comparison: None.
Clinical Data: S/P TKR (TOTAL KNEE REPLACEMENT)
Findings:
Bilateral standing legs, single view:
There is a left longstem constrained knee arthroplasty with surrounding
cortical lucency,evaluate in detail on the knee examination below. Mild bilateral genu varum
deformities. There is an unconstrained right total knee arthroplasty with longstem tibial
component andsurrounding cement with lucency along the osseous-cement interface,
evaluated in detail on theknee examination below.
Bilateral knees, 3 views each:
Left knee: There is a left longstem constrained knee arthroplasty with
marked lucency a longosseous-prosthesis interface of both longstem components with marked
thinning of the lateralcortex overlying the tibial longstem component. Small joint effusion.
Right knee: There is a right unconstrained total knee arthroplasty with
longstem tibialcomponent and surrounding cement. There is lucency along the osseous-cement
interface, lateralgreater than medial, measuring up to 1 mm. There is prominent excavation
along the anteriorfemoral osseous-prosthesis interface. There is evidence of old fracture
fragment or bone graftat the apex of the longstem component. Small joint effusion.
Impression:Bilateral standing legs:
1. Bilateral total knee arthroplasties with evidence of hardware loosening,
as detailed below.
2. Mild bilateral genu varum deformities of the knees.
Bilateral knees:
1. Left longstem constrained knee arthroplasty with marked evidence of
loosening of the femoraland tibial longstem components.
2. Right unconstrained total knee arthroplasty with tibial longstem
component and evidence ofloosening surrounding the anterior femoral and longstem components.
Thanks much
Kimberley Tober, CPC
