Morselized Bone Grafting of Defects in Revision Total Knee Arthroplasty

Benjamin, James B.; Engh, Gerard A.; Parsley, Brian S.; Donaldson, Thomas; Coon, Thomas M.

doi:10.1097/00003086-200111000-00008

Cited by 45 publications

(21 citation statements)

References 17 publications

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“…Because some articles lacked the number of patients' gender [1,3,5,6,7,8,9], there were 429 men and 611 women with the weighted mean age of 67 (range 45-90) years. The studies reported outcomes on a mean of 41 (median 34) patients.…”

Section: Patient Characteristicsmentioning

confidence: 99%

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Patient outcome following revision total knee arthroplasty: a meta-analysis

Sheng

Lehto

Kataja

et al. 2004

International Orthopaedics

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The purpose of this study was to summarize the literature describing patient outcome following revision total knee arthroplasty. Original studies were included if they were published between 1990 and 2002, enrolled ten or more patients, and measured patient outcome using a global knee rating scale. We found 33 studies with a total number of 1,356 patients. There were 429 men and 611 women with a mean age of 67 (45-90) years. The weighted mean follow-up time was 57 (6-108) months. The main indication of revision was loosening. The weighted mean preoperative and postoperative knee scores were 49 (15-82) and 84 (58-109) respectively. There were significant differences between preoperative and postoperative knee and function scores and motion (knee: t=12.507 p<0.001, function: t=4.704 p<0.001, motion: t=5.346 p<0.001). Loosening was also the main complication after revision surgery. In this analysis, revision total knee arthroplasty was a safe and effective procedure.

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Section: Patient Characteristicsmentioning

confidence: 99%

“…(2) What is the revision's main indication? (3) What is the main complication after revision surgery? (4) Are there significant differences between various implants?…”

Section: Introductionmentioning

confidence: 99%

Patient outcome following revision total knee arthroplasty: a meta-analysis

Sheng

Lehto

Kataja

et al. 2004

International Orthopaedics

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“…Severe bone deficiency, defined as Anderson Orthopaedic Research Institute [8] Type 2B or 3, has been commonly treated using either morselized [4,20] or bulk allografts [1,3,6,9,12,13] depending on the location and size of the defects. Several studies of revision knee arthroplasty in which femoral head and structural bulk allografts were used report a risk of infection ranging from 4% to 8%, a risk of nonunion ranging from 0% to 4%, and an overall rate of reoperation for failure of 8% to 23% [1,3,6,9].…”

Section: Introductionmentioning

confidence: 99%

Can Tantalum Cones Provide Fixation in Complex Revision Knee Arthroplasty?

Lachiewicz

Bolognesi

Henderson

et al. 2012

Clinical Orthopaedics &Amp; Related Research

128

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“…Reconstruction of the bone defect is essential for the durability of the fixation. There exists well established agreement as to the surgical management and treatment of smaller bone loss of the proximal tibia [2]. Management of severe bone loss is dependent on the degree and location of the defect.…”

Section: Introductionmentioning

confidence: 99%

Bone mineral density changes of the proximal tibia after revision total knee arthroplasty. A randomised study with the use of porous tantalum metaphyseal cones

Jensen

Petersen

Schrøder

et al. 2012

International Orthopaedics (SICOT)

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Purpose Forty patients were enrolled in a prospective randomised study using conventional method or "Trabecular Metal Cone" (TM Cone) (Zimmer inc., Warsaw, USA) for reconstruction of bone loss of the proximal tibia during revision total knee arthroplasty (rTKA). The aim was to evaluate changes in bone mineral density (BMD) at the proximal tibia. Material and methods Thirty-six patients [median 67 years (range: 40-85 years)] received rTKA with NexGen® (Zimmer Warsaw, USA) revision system. Knee Society´s Knee Scoring System and the Anderson Orthopaedic Research Institute (AORI) bone classification was used. Changes in BMD were measured by dual energy X-ray absorptiometry (DEXA). Results Knee and function score improved in both groups. No significant changes between the groups were found. Changes in BMD within the two groups were quite similar. Overall decreases in BMD of 0.1 -5.4 % were found in both groups (ROI 1-6) postoperative to 12 months of follow-up, except that ROI 7 showed an increase in BMD (0.8 -1.3 %).

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Morselized Bone Grafting of Defects in Revision Total Knee Arthroplasty

Cited by 45 publications

References 17 publications

Patient outcome following revision total knee arthroplasty: a meta-analysis

Patient outcome following revision total knee arthroplasty: a meta-analysis

Can Tantalum Cones Provide Fixation in Complex Revision Knee Arthroplasty?

Bone mineral density changes of the proximal tibia after revision total knee arthroplasty. A randomised study with the use of porous tantalum metaphyseal cones

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