Zonal fixation in revision total knee arthroplasty

被引:199
作者
Morgan-Jones, R. [1 ]
Oussedik, S. I. S. [1 ]
Graichen, H. [1 ]
Haddad, F. S. [1 ]
机构
[1] Univ Coll London Hosp, London NW1 2BU, England
关键词
TANTALUM METAPHYSEAL CONES; TIBIAL BONE LOSS; STEM FIXATION; REPLACEMENT; TKA; DESIGN; PAIN; END; STABILITY; DEFECTS;
D O I
10.1302/0301-620X.97B2.34144
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
Revision knee arthroplasty presents a number of challenges, not least of which is obtaining solid primary fixation of implants into host bone. Three anatomical zones exist within both femur and tibia which can be used to support revision implants. These consist of the joint surface or epiphysis, the metaphysis and the diaphysis. The methods by which fixation in each zone can be obtained are discussed. The authors suggest that solid fixation should be obtained in at least two of the three zones and emphasise the importance of pre-operative planning and implant selection.
引用
收藏
页码:147 / 149
页数:3
相关论文
共 33 条
[1]   Metal metaphyseal sleeves in revision total knee replacement [J].
Agarwal, S. ;
Azam, A. ;
Morgan-Jones, R. .
BONE & JOINT JOURNAL, 2013, 95B (12) :1640-1644
[2]  
Ahmed L, 2012, J BONE JOINT SURG BR, V94-B, P55
[3]   The effect of stem design on end-of-stem pain in revision total knee arthroplasty [J].
Barrack, RL ;
Stanley, T ;
Burt, M ;
Hopkins, S .
JOURNAL OF ARTHROPLASTY, 2004, 19 (07) :119-124
[4]  
Barrack RL, 1999, CLIN ORTHOP RELAT R, P216
[5]   Patient satisfaction and outcome after septic versus aseptic revision total knee arthroplasty [J].
Barrack, RL ;
Engh, G ;
Rorabeck, C ;
Sawhney, J ;
Woolfrey, M .
JOURNAL OF ARTHROPLASTY, 2000, 15 (08) :990-993
[6]   Fixation of revision TKA: a review of the literature [J].
Beckmann, J. ;
Luering, C. ;
Springorum, R. ;
Koeck, F. X. ;
Grifka, J. ;
Tingart, M. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2011, 19 (06) :872-879
[7]  
Brigstocke G, 2012, Orthop Procs, V94-B, P59, DOI [10.1302/1358-992x.94bsupp_xxix.Bask2011-059, DOI 10.1302/1358-992X.94BSUPP_XXIX.BASK2011-059]
[8]   The influence of different tibial stem designs in load sharing and stability at the cement-bone interface in revision TKA [J].
Completo, A. ;
Simoes, J. A. ;
Fonseca, F. ;
Oliveira, M. .
KNEE, 2008, 15 (03) :227-232
[9]   Strain shielding in proximal tibia of stemmed knee prosthesis: Experimental study [J].
Completo, A. ;
Fonseca, F. ;
Simoes, J. A. .
JOURNAL OF BIOMECHANICS, 2008, 41 (03) :560-566
[10]   Why are Total Knee Arthroplasties Being Revised? [J].
Dalury, David F. ;
Pomeroy, Donald L. ;
Gorab, Robert S. ;
Adams, Mary Jo .
JOURNAL OF ARTHROPLASTY, 2013, 28 (08) :120-121