Screw and cement augmentation of tibial defects in primary total knee arthroplasty: satisfactory midterm outcomes

Gaudin, Gaël; Butcher, C; Lustig, Sébastien; Darwish, Nader; Neyret, Philippe

doi:10.1136/jisakos-2017-000174

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…In severe cases like this case, arthroplasty is a good treatment option (6) . The presence of large defects more than 20% with depressed more than 16 mm, is not possible to treat with screw and bone graft augmentation alone (7) , ideally this case would require additional special implants such as metal augmentation and longer stems (2,8) . However, it should not be forgotten that in suburban hospitals with limited funding, we must also think about ways to reduce the costs (7) .…”

Section: Discussionmentioning

confidence: 99%

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report

Riyadli¹

2022

Hip Knee J.

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Trauma case to the joints, especially the knee joint is a difficult and challenging case to manage. In the initial conditions of trauma, this case may be relatively more rational to do reduction and fixation. However, in cases of delayed treatment, it will be a challenge for an orthopedic, where in the late condition, the knee joint will degenerate earlier and becomes early osteoarthritis. The therapy that can be done depends on the severity of the joint damage itself. One of the actions that can be taken in severe conditions of osteoarthritis is Total Knee Arthroplasty (TKA). But if the defect is very large, a special additional tool is usually needed, which will also be more expensive. We report a 51 years old female patient with secondary osteoarthritis and severe depressed in the medial proximal tibia due to neglected tibial plateau fracture. The patient had a total knee arthroplasty performed with an oblique osteotomy on the medial side of the tibial plateau and shifting it proximally to cover the defect area. The operation went smoothly and the implant used was a primary Posterior Stabilized (PS) TKA implant without metal augmentation. After the procedure, the patient's knee is reassessed. There was improvement in knee deformity, with good stability and full range of motion of the knee. The purpose of this paper is to demonstrate a sliding osteotomy technique for medial proximal tibia in Total Knee Arthroplasty, with the hope of being an alternative solution and reducing additional costs for osteoarthritis cases with a severe defect in the medial proximal tibia.

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Section: Discussionmentioning

confidence: 99%

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report

Riyadli¹

2022

Hip Knee J.

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Biomechanical comparison between metal block and cement-screw techniques for the treatment of tibial bone defects in total knee arthroplasty based on finite element analysis

Liu

Zhang

Wang

et al. 2020

Computers in Biology and Medicine

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Screw and cement augmentation of tibial defects in primary total knee arthroplasty: satisfactory midterm outcomes

Cited by 4 publications

References 28 publications

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report

Proximal Tibial Sliding Osteotomy as an Alternative Solution for Patients With Proximal Tibial Bone Defect After Neglected Tibial Plateau Fractures Undergoing Total Knee Arthroplasty: A Case Report

Biomechanical comparison between metal block and cement-screw techniques for the treatment of tibial bone defects in total knee arthroplasty based on finite element analysis

Primary total knee arthroplasty in patients with a significant bone defect in the medial tibial plateau: Case series and literature review

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