CME expires August 31, 2027

Go beyond traditional learning with a 360° perspective on orthopedic topics.

Each ICL360 is a cutting-edge CME course designed to provide a holistic learning experience, featuring curated video content sourced from expert-selected Instructional Course Lectures enhanced with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.

This Instructional Course Lecture (ICL) explores advanced salvage options for patients in whom total knee arthroplasty (TKA) fails, addressing the complexities and techniques that experienced orthopaedic surgeons must master to treat such challenging patients. The lecture focuses on the intricacies of multiple surgical treatment options, including distal femur replacement; total femur arthroplasty; knee arthrodesis; and, as a last resort, transfemoral amputation. Each technique is examined, with an emphasis on indications, procedural details, potential complications, and outcomes.

Editor
Joshua C. Rozell, MD, FAAOS 

Learning Objectives

• Evaluate the indications and contraindications for limb salvage options in patients in whom total knee arthroplasty fails, including distal femur replacement and total femur arthroplasty.
• Analyze the complications associated with various salvage procedures, such as infection and mechanical failure, and the long-term functional outcomes.
• Apply advanced surgical techniques to effectively perform distal femur replacement, considering patient-specific factors, such as previous surgery and existing bone loss.
• Differentiate the advantages and limitations of knee arthrodesis from those of transfemoral amputation in the context of a patient in whom multiple revision total knee arthroplasty procedures fail.
• Integrate modern megaprosthesis designs and materials to optimize surgical outcomes and reduce the risk of revision surgery.
• Assess the role of interdisciplinary team collaboration in the treatment of complex patients in whom total knee arthroplasty fails, including the integration of infection control strategies and rehabilitation plans.
• Formulate comprehensive treatment plans that prioritize patient-specific goals, such as mobility and pain relief, while considering the potential for long-term complications.
• Critically review current literature and clinical studies to update practices in line with the latest evidence and technological advancements in knee salvage surgery.

Earn up to 5 AMA PRA Category 1 CME credits™.