Clinical & Radiographic Outcomes of Cemented vs. Diaphyseal Engaging Cementless Stems in Aseptic Revision TKA

被引：36

作者：

Gililland, Jeremy M. ^{[1
]}

Gaffney, Christian J. ^{[1
]}

Odum, Susan M. ^{[2
]}

Fehring, Thomas K. ^{[2
]}

Peters, Christopher L. ^{[1
]}

Beaver, Walter B. ^{[2
]}

机构：

[1] Univ Utah, Sch Med, Dept Orthopaed Surg, Salt Lake City, UT 84108 USA

[2] OrthoCarolina Hip & Knee Ctr, Charlotte, NC USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 09期

关键词：

revision TKA; aseptic failure; stem fixation; cemented stem; cementless stem; TOTAL KNEE ARTHROPLASTY; TOTAL HIP-ARTHROPLASTY; RESOURCE UTILIZATION; COMPONENTS; FIXATION; PAIN; END;

D O I：

10.1016/j.arth.2014.03.049

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：

Modular revision systems have become standard in revision TKAs. However, the type of stem fixation remains controversial. The purpose of this study is to compare the incidence of failure between cemented and diaphyseal engaging cementless stems in aseptic revision TKAs. We performed a multicenter retrospective review of 82 revision TKAs performed for aseptic failure. Follow-up averaged 76 and 121 months for the cemented and cementless groups respectively. Re-revision and radiographic failure rates for both femoral and tibial stems were similar between groups. We found similar improvements in knee society scores between the groups. At midterm follow-up, we found no difference in failure rates between the groups. Both types of stem appear to provide reliable fixation and are viable options in revision TKAs. Published by Elsevier Inc.

引用

页码：224 / 228

页数：5

共 16 条

[1] The effect of stem design on end-of-stem pain in revision total knee arthroplasty
Barrack, RL
Stanley, T
Burt, M
Hopkins, S
[J]. JOURNAL OF ARTHROPLASTY, 2004, 19 (07) : 119 - 124
[2] Barrack RL, 1999, CLIN ORTHOP RELAT R, P216
[3] The impact of infection after total hip arthroplasty on hospital and surgeon resource utilization
Bozic, KJ
Ries, MD
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (08) : 1746 - 1751
[4] Hospital resource utilization for primary and revision total hip arthroplasty
Bozic, KJ
Katz, P
Cisternas, M
Ono, L
Ries, MD
Showstack, J
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (03) : 570 - 576
[5] Are Cementless Stems More Durable Than Cemented Stems in Two-stage Revisions of Infected Total Knee Arthroplasties?
Edwards, Paul K.
Fehring, Thomas K.
Hamilton, William G.
Perricelli, Brett
Beaver, Walter B.
Odum, Susan M.
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (01) : 206 - 211
[6] ELIA EA, 1991, CLIN ORTHOP RELAT R, P114
[7] Stem fixation in revision total knee arthroplasty - A comparative analysis
Fehring, TK
Odum, S
Olekson, C
Griffin, WL
Mason, JB
McCoy, TH
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2003, (416) : 217 - 224
[8] Revision total knee arthroplasty - Fixation with modular stems
Gofton, WT
Tsigaras, H
Butler, RA
Patterson, JJ
Barrack, RL
Rorabeck, CH
[J]. CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2002, (404) : 158 - 168
[9] Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030
Kurtz, Steven
Ong, Kevin
Lau, Edmund
Mowat, Fionna
Halpern, Michael
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (04) : 780 - 785
[10] Revision total knee arthroplasty with modular cemented stems - Long-term follow-up
Mabry, Tad M.
Vessely, Michael B.
Schleck, Cathy D.
Harmsen, William Scott
Berry, Daniel J.
[J]. JOURNAL OF ARTHROPLASTY, 2007, 22 (06) : 100 - 105

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