J Knee Surg 2013; 26(01): 065-068
DOI: 10.1055/s-0032-1319786
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Revision Total Knee Arthroplasty after Severe Notching of the Anterior Femoral Cortex

Matthew C. Kinney
1   Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia
Atul F. Kamath
2   Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
Roshan P. Shah
2   Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
Craig L. Israelite
2   Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
› Author Affiliations
Further Information

Publication History

04 February 2012

12 February 2012

Publication Date:
28 June 2012 (online)


Anterior femoral cortex notching is a known complication of total knee arthroplasty (TKA). In severe cases, notching may alter the mechanical properties of the distal femur. We report a patient with significant femoral notching and malpositioning of the femoral prosthesis after TKA, leading to unresolved postoperative pain, decreased range of motion, and functional disability. The severity of this lesion required the use of augments and an offset femoral stem for improved alignment during revision arthroplasty, which is described in this brief technical note.

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