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Revision Surgery of the Knee

Maffulli, Nicola MD, MS, PhD, FRCS(Orth)

Sports Medicine and Arthroscopy Review: March 2017 - Volume 25 - Issue 1 - p 1
doi: 10.1097/JSA.0000000000000142

*Department of Musculoskeletal Disorders, University of Salerno, Salerno, Italy

Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England

Disclosure: The author declares no conflict of interest.

Reprints: Nicola Maffulli, MD, MS, PhD, FRCS(Orth), Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK (e-mail:

As surgeons, we like neat, perfect, long-lasting work. We plan: we plan for contingencies, and we execute in the best possible way. We love new techniques, and we strive to improve. Many operations are codified, the postoperative course is well described, but, every so often, things do not quite go the way we would like or we had planned. Risk is intrinsic in any surgical procedure, and complications are inevitable, despite all the training that we have received and the care that we have put into the procedure.

Knee surgery is technically demanding, and hopefully the patients of most of us will never experience devastating complications. This issue concentrates on revision surgery following procedures in the knee. We have gathered together surgeons from different continents working in tertiary practice in high-volume referral centers: this is the only way in which an individual team can mature enough experience in the complex problems we are asked to tackle. Many orthopedic surgeons will be fortunate, and never have to sort out patients inherited from St Elsewhere, as things did not go quite in the planned fashion. Some of us, on the other hand, just enjoy a challenge. For all, this issue of Sports Medicine and Arthroscopy Review offers clear cut advice and, above all, a streamlined approach to the demanding problems that we are called to face.

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