Abstract
Today TKA belongs to a standard care in orthopaedics and traumatology. The number of the annual implantations has clearly increased during the last years and also in the future an increasing rate to be expected.
Also the number of Revision TKA and the treatment of complicated pathologies in the primary care will increase in the same way.
Therefore the requirements of the surgeon rised as well as a suitable and accurate systems will be needed. Beside revision cases, traumatic-, post-traumatic- and RA-patients demonstrate partly distinctive bone and ligamentous pathologies.
Beside the primary implant components and instrumentation-systems, modern knee systems must include also modular revision systems compatible with the primary systems to be able to carry out complicated primary as well as light to moderately severe recision cases. Besides, also the possibility should be able to change within the system (with constant bone-cuttings) on higher degrees of the constrain.
With the TC-Primary and TC-Revision system fulfils the above mentioned criteria so that nearly every situation can be handled.
We present our experience using this system in cases of revisions, traumatic, post-traumatic and RA-cases The handling of bone and ligamentous defects will be demonstrated. In particular the possibility the use of the TC-Revision also in primary TKA as P a so named “extension primary system” will be emphasized.
By the Modulary and compatibility of the TC-Primary and TC-Revision systems, the use of Wedges and Stems as well as the possibility of the different degrees of the constrain a knee family permits us to treat complicated primary as well as mild to moderate revision cases.
