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
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