The Management of Bone Defects in Revision Knee Arthroplasty: The Role of Porous Metal Cones and 3D-Printed Cones

被引：0
|
作者：
Marongiu, Giuseppe [1 ]
Capone, Antonio [1 ]
Verona, Marco [1 ]
Piovan, Gianluca [2 ]
Zorzi, Claudio [2 ]
Kendoff, Daniel [3 ]
Bandino, Marta [1 ]
机构：
[1] Cagliari State Univ, Dept Surg Sci, Orthopaed & Trauma Clin, Policlin Duilio Casula, I-09042 Cagliari, Italy
[2] IRCCS Osped Sacro Cuore Don Calabria, Dept Vasc Surg, I-37138 Verona, Italy
[3] Helios Klinikum Berlin Buch, D-13125 Berlin, Germany
来源：
PROSTHESIS | 2023年 / 5卷 / 04期
关键词：
revision surgery; total knee arthroplasty; bone loss; metaphyseal cones; metallic cones; TITANIUM METAPHYSEAL CONES; TRABECULAR METAL; TANTALUM CONES; OUTCOMES; SURGERY; FABRICATION; ALLOGRAFT; FIXATION; IMPLANTS; HIP;
D O I：
10.3390/prosthesis5040082
中图分类号：
TB3 [工程材料学]; R318.08 [生物材料学];
学科分类号：
0805 ; 080501 ; 080502 ;
摘要：
Worldwide, the number of revisions to total knee arthroplasty procedures is increasing. Revision surgery is a challenging procedure, required for the management of bone loss after removal of the first implant. Although further long-term follow-up studies are needed, the use of cones in revisions of total knee arthroplasty yields reliability in fixation and stability to restore joint lines, especially in challenging surgeries with poor bone stock. The introduction of 3D-printed cones in revision surgery seems to be advantageous for AORI type III bone defects, especially in reducing intraoperative complications and procedure times. The aim of this study is to review the currently available literature to analyse clinical outcomes, complications, and radiographical results with the use of metaphyseal tantalum cones and new 3D-printed cones for the management of bone defects in the revision of total knee arthroplasty.
引用
收藏
页码：1171 / 1183
页数：13
相关论文
共 50 条
  • [21] Effects of personalized 3D-printed blocks in total knee arthroplasty and revision surgery for massive bone defects: a single-center retrospective study
    Lu, Fei
    Li, Congsun
    Hu, Pengfei
    Hu, Bin
    Wu, Haobo
    JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, 2025, 53 (01)
  • [22] Development and Verification of Novel Porous Titanium Metaphyseal Cones for Revision Total Knee Arthroplasty
    Faizan, Ahmad
    Bhowmik-Stoker, Manoshi
    Alipit, Vincent
    Kirk, Amanda E.
    Krebs, Viktor E.
    Harwin, Steven F.
    Meneghini, R. Michael
    JOURNAL OF ARTHROPLASTY, 2017, 32 (06) : 1946 - 1953
  • [23] Does the use of 3D-printed cones give a chance to postpone the use of megaprostheses in patients with large bone defects in the knee joint?
    Kotrych, Daniel
    Marcinkowski, Slawomir
    Brodecki, Adam
    Anuszkiewicz, Marcin
    Kleszowski, Jakub
    Bohatyrewicz, Andrzej
    Ciechanowicz, Dawid
    OPEN MEDICINE, 2022, 17 (01): : 1292 - 1298
  • [24] Do Porous Tantalum Metaphyseal Cones Improve Outcomes in Revision Total Knee Arthroplasty?
    Bohl, Daniel D.
    Brown, Nicholas M.
    McDowell, Mitchell A.
    Levine, Brett R.
    Sporer, Scott M.
    Paprosky, Wayne G.
    Della Valle, Craig J.
    JOURNAL OF ARTHROPLASTY, 2018, 33 (01) : 171 - 177
  • [25] Aseptic Loosening of Porous Metaphyseal Sleeves and Tantalum Cones in Revision Total Knee Arthroplasty: A Systematic Review
    Roach, Ryan P.
    Clair, Andrew J.
    Behery, Omar A.
    Thakkar, Savyasachi C.
    Iorio, Richard
    Deshmukh, Ajit J.
    JOURNAL OF KNEE SURGERY, 2021, 34 (10) : 1033 - 1041
  • [26] Midterm Outcomes of Tantalum Metal Cones for Severe Bone Loss in Complex Primary and Revision Total Knee Arthroplasty
    Rajgopal, Ashok
    Kumar, Sumit
    Aggarwal, Kalpana
    ARTHROPLASTY TODAY, 2021, 7 : 76 - 83
  • [27] Porous metal cones: gold standard for massive bone loss in complex revision knee arthroplasty? A systematic review of current literature
    Stefano Divano
    Luca Cavagnaro
    Andrea Zanirato
    Marco Basso
    Lamberto Felli
    Matteo Formica
    Archives of Orthopaedic and Trauma Surgery, 2018, 138 : 851 - 863
  • [28] Preliminary clinical results of coated porous tibia cones in septic and aseptic revision knee arthroplasty
    Ohlmeier, Malte
    Lausmann, Christian
    Wolff, Matthias
    Abdelaziz, Hussein
    Gehrke, Thorsten
    Citak, Mustafa
    ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2021, 141 (04) : 555 - 560
  • [29] Porous Tantalum Metaphyseal Cones for Severe Femoral and Tibial Bone Defects in Revision Total Knee Arthroplasty are Reliable for Fixation at Mean 5-Year Follow-Up
    Kayani, Babar
    Howard, Lisa C.
    Neufeld, Michael E.
    Greidanus, Nelson V.
    Masri, Bassam A.
    Garbuz, Donald S.
    JOURNAL OF ARTHROPLASTY, 2024, 39 (09) : S374 - S379
  • [30] Revision Total Knee Arthroplasty With the Use of Trabecular Metal Cones A Randomized Radiostereometric Analysis With 2 Years of Follow-Up
    Jensen, Claus L.
    Petersen, Michael M.
    Schroder, Henrik M.
    Flivik, Gunnar
    Lund, Bjarne
    JOURNAL OF ARTHROPLASTY, 2012, 27 (10) : 1820 - 1826
12345