Metaphyseal Sleeves for Revision Total Knee Arthroplasty: Good Short-Term Outcomes

被引：48

作者：

Bugler, Kate E. ^{[1
]}

Maheshwari, Rohit ^{[1
]}

Ahmed, Isaaq ^{[1
]}

Brenkel, Ivan J. ^{[1
]}

Walmsley, Philip J. ^{[1
]}

机构：

[1] Victoria Hosp Kirkcaldy, Kirkcaldy KY2 5AH, Fife, Scotland

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 11期

关键词：

knee; arthroplasty; replacement; revision; aseptic; sleeves; TIBIAL BONE LOSS; STRUCTURAL ALLOGRAFT; TANTALUM CONES; REPLACEMENT; DEFECTS; PROSTHESIS; FIXATION; AUGMENTS; FAILURE; HIP;

D O I：

10.1016/j.arth.2015.05.015

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：

Metaphyseal sleeve prostheses have shown promising results in the management of bone defects at revision TKA. We present a study of their use in aseptic revision TKA. Thirty-five revisions were included in 34 patients with wear or aseptic loosening indicated in 71% of cases. The majority of cases (63%) were AORI grade 2 or greater on the tibia or femur. Knee Society scores were excellent or good in 83% of patients with the same percentage having no or only mild pain. One patient suffered a sleeve-related complication with femoral condylar fractures three years postoperatively; these united with good outcomes. All radiographs were satisfactory; no patient required a further revision. We report good outcomes with the use of metaphyseal sleeves in revision TKA. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1990 / 1994

页数：5

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