2012
DOI: 10.1177/230949901202000116
|View full text |Cite
|
Sign up to set email alerts
|

Review Article: Treatments for Bone Loss in Revision Total Knee Arthroplasty

Abstract: Bone deficiency hinders implant alignment and stabilisation of the bone-implant interface in revision total knee arthroplasty (TKA). Treatments for bone defects include bone cement, bone cement with screw reinforcement, metal augments, impaction bone grafts, structural allografts, and tantalum, depending on the location and size of the defects. Small defects are usually treated with cement, cement plus screws, or impaction allograft bone. Large defects are repaired with structural allografts or metal augments.… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
66
0
2

Year Published

2012
2012
2023
2023

Publication Types

Select...
4
3
1

Relationship

0
8

Authors

Journals

citations
Cited by 51 publications
(68 citation statements)
references
References 84 publications
0
66
0
2
Order By: Relevance
“…The advantages of trabecular metal are its biocompatibility and bioactivity, the low modulus of elasticity, as well as the high frictional characteristics and a high volumetric porosity. The disadvantages are that it's not a popular choice, the lack long-term follow-up and its cost (11).…”
Section: Discussionmentioning
confidence: 99%
“…The advantages of trabecular metal are its biocompatibility and bioactivity, the low modulus of elasticity, as well as the high frictional characteristics and a high volumetric porosity. The disadvantages are that it's not a popular choice, the lack long-term follow-up and its cost (11).…”
Section: Discussionmentioning
confidence: 99%
“…B one defects frequently occur in RTKA, which may be a consequence of the primary TKA. In primary TKA, the bone defects based on preoperative radiography are often underestimated relative to the actual bone defect found during RTKA 13 . Reish et al report that plain radiography is inadequate for the detection of osteolytic lesions in TKA 21 .…”
Section: Preoperative Radiographic Diagnosismentioning
confidence: 99%
“…V arious techniques have been developed to manage the bone defects in RTKA, including cementation, modular metal augments, elimination of bone defects, bone grafts (autografts, allografts and structural massive bone allografts), metaphyseal fixation (porous titanium metaphyseal sleeves and porous tantalum metaphyseal cones), and megaprostheses (customized prostheses) ( Table 2) 13,15 .…”
Section: Management Of Bone Defects In Revision Of Total Knee Arthropmentioning
confidence: 99%
See 1 more Smart Citation
“…Conclusion: While a robust data set from long-term follow-up of patients receiving customised macro-allografts is not yet available, initial clinical experience and results suggest that lesion-matched macro-allografts can be an important component of revision joint surgery. Brune/Hesselbarth/Seifert/Nowack/ von Versen/Smith/Seifert creased resection or component shift, cement or cement and screw reconstruction, metal prosthetic augmentation or impaction grafting [11][12][13]. For revision TKA, it has been shown, that early results of structural allografts are similar to those of standard metal augmentation [14].…”
mentioning
confidence: 99%