Bone Loss in Revision Total Knee Arthroplasty: Evaluation and Management

被引：73

作者：

Sheth, Neil P. ^{[1
]}

Bonadio, Marcelo Batista ^{[2
]}

Demange, Marco Kawamura ^{[2
]}

机构：

[1] Univ Penn, Dept Orthopaed Surg, Perelman Sch Med, Philadelphia, PA 19104 USA

[2] Univ Sao Paulo, Dept Orthopaed Surg, Sao Paulo, Brazil

来源：

JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS | 2017年 / 25卷 / 05期

关键词：

TANTALUM METAPHYSEAL CONES; STRUCTURAL ALLOGRAFT; JOINT LINE; FOLLOW-UP; DEFECTS; FIXATION; REPLACEMENT; OSTEOLYSIS; FAILURE; STEMS;

D O I：

10.5435/JAAOS-D-15-00660

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

With the increasing number of total knee arthroplasty (TKA) procedures being performed annually, the burden of revision surgery is also expected to increase. Addressing bone loss during revision TKA is a considerable challenge that requires proper preoperative evaluation and surgical planning. In addition to an assessment of femoral and tibial bone loss, a systematic approach to the management of bone loss associated with TKA includes careful implant selection, adherence to the general principles of revision TKA, and an understanding of the available reconstruction options. These options include cement with screws, morcellized allograft, bulk structural allograft, modular wedges, block augments, porous metal cones or sleeves, and megaprostheses.

引用

页码：348 / 357

页数：10

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