Abstract
Expedient removal of a well fixed total knee replacement relates to obtaining access to the fixation surfaces so as to disrupt the bone implant or bone cement interfaces. The first point is wide exposure, most commonly with a modification of a quads snip procedure. Fixation surface disruption is achieved with a combination of saws, high speed burrs and osteotomes. More extensive metaphyseal fixation may require osteotomy to achieve access. Tubercle osteotomy is one option. We more commonly utilise a medial tibial cortical osteotomy, which preserves the extensor function. Video techniques will be presented.
