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

Journal of Orthopaedic Surgery - Tập 20 Số 1 - Trang 78-86 - 2012
Yi Qiu1, Chun Hoi Yan1, Pky Chiu1, Fu Yuen Ng1
1Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong

Tóm tắt

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. Recent developments involve the use of highly porous osteo-conductive tantalum. We reviewed the pros and cons of each method for bone defect management in revision TKA.

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