Preliminary clinical results of coated porous tibia cones in septic and aseptic revision knee arthroplasty.
Coated cones
Cone
Porous tantalum cones
Revision knee arthroplasty
TKA
Total knee arthroplasty
TrabecuLink®-CaP cones
Journal
Archives of orthopaedic and trauma surgery
ISSN: 1434-3916
Titre abrégé: Arch Orthop Trauma Surg
Pays: Germany
ID NLM: 9011043
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
03
10
2019
pubmed:
11
4
2020
medline:
22
6
2021
entrez:
11
4
2020
Statut:
ppublish
Résumé
To analyze the first results of calcium-phosphate-coated porous tibia cones. Patients treated with TrabecuLink 52 patients with revision knee arthroplasty (RKA) were recruited for final analysis, of whom, we had 17 septic RKAs (33%) and 35 aseptic cases of RKA (67%). The bone defects were grouped into 17 AORI Type 2A (32.7%), 14 Type 2B (26.9%) and 21 Type 3 (40.4%). After a mean follow-up of 22 months (13.2-34.8; SD = ± 10), we had 4 surgical revisions (7.7%), 2 septic and 2 aseptic cases. The mean Oxford Knee Score was 28.6 points (8-47; SD = ± 10). 22 of 28 radiographs (78.6%) showed regular positioning of the cones and TKAs at a mean follow-up of 16.8 months (13.2-34.8; SD = ± 6). Three patients (10.7%) showed slight radiolucencies in the bone-cement interfaces and 3 patients (10.7%) had beginning heterotopic ossifications. This study shows the initial clinical results of calcium-phosphate-coated tibia cones showing a good functional outcome. Further research should focus on long-term clinical and radiological follow-up.
Identifiants
pubmed: 32274569
doi: 10.1007/s00402-020-03434-2
pii: 10.1007/s00402-020-03434-2
doi:
Substances chimiques
Calcium Phosphates
0
Coated Materials, Biocompatible
0
calcium phosphate
97Z1WI3NDX
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
555-560Références
Lachiewicz PF, Watters TS (2014) Porous metal metaphyseal cones for severe bone loss: when only metal will do. Bone Joint J 96-B(11 Suppl A):118–121. https://doi.org/10.1302/0301-620X.96B11.34197
doi: 10.1302/0301-620X.96B11.34197
pubmed: 25381423
Bonanzinga T, Gehrke T, Zahar A et al (2018) Are trabecular metal cones a valid option to treat metaphyseal bone defects in complex primary and revision knee arthroplasty? Joints 6(1):58–64. https://doi.org/10.1055/s-0037-1608950
doi: 10.1055/s-0037-1608950
pubmed: 29675508
Levine B, Sporer S, Della Valle CJ et al (2007) Porous tantalum in reconstructive surgery of the knee: a review. J Knee Surg 20(3):185–194
doi: 10.1055/s-0030-1248041
You JS, Wright AR, Hasegawa I et al (2019) Addressing large tibial osseous defects in primary total knee arthroplasty using porous tantalum cones. Knee 26(1):228–239. https://doi.org/10.1016/j.knee.2018.11.001
doi: 10.1016/j.knee.2018.11.001
pubmed: 30554910
Burastero G, Cavagnaro L, Chiarlone F et al (2018) The use of tantalum metaphyseal cones for the management of severe bone defects in septic knee revision. J Arthroplasty 33(12):3739–3745. https://doi.org/10.1016/j.arth.2018.08.026
doi: 10.1016/j.arth.2018.08.026
pubmed: 30266325
Engh GA, Ammeen DJ (1999) Bone loss with revision total knee arthroplasty: Defect classification and alternatives for reconstruction. Instr Course Lect 48:167–175
pubmed: 10098042
Meneghini RM, Lewallen DG, Hanssen AD (2008) Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. J Bone Joint Surg Am 90(1):78–84. https://doi.org/10.2106/JBJS.F.01495
doi: 10.2106/JBJS.F.01495
pubmed: 18171960
Faizan A, Bhowmik-Stoker M, Alipit V et al (2017) Development and verification of novel porous titanium metaphyseal cones for revision total knee arthroplasty. J Arthroplasty 32(6):1946–1953. https://doi.org/10.1016/j.arth.2017.01.013
doi: 10.1016/j.arth.2017.01.013
pubmed: 28196619
Beckmann NA, Mueller S, Gondan M et al (2015) Treatment of severe bone defects during revision total knee arthroplasty with structural allografts and porous metal cones-a systematic review, vol 2, United States
Fedorka CJ, Chen AF, Pagnotto MR et al (2018) Revision total knee arthroplasty with porous-coated metaphyseal sleeves provides radiographic ingrowth and stable fixation. Knee Surg Sports Traumatol Arthrosc 26(5):1500–1505. https://doi.org/10.1007/s00167-017-4493-y
doi: 10.1007/s00167-017-4493-y
pubmed: 28314891
Sculco PK, Abdel MP, Hanssen AD et al (2016) The management of bone loss in revision total knee arthroplasty: rebuild, reinforce, and augment. Bone Joint J 98-B(11 Suppl A):120–124. https://doi.org/10.1302/0301-620X.98B1.36345
doi: 10.1302/0301-620X.98B1.36345
pubmed: 26733657
Henricson A, Linder L, Nilsson KG (2008) A trabecular metal tibial component in total knee replacement in patients younger than 60 years: a two-year radiostereophotogrammetric analysis. J Bone Joint Surg Br 90(12):1585–1593. https://doi.org/10.1302/0301-620X.90B12.20797
doi: 10.1302/0301-620X.90B12.20797
pubmed: 19043129
Heinl P, Muller L, Korner C et al (2008) Cellular Ti-6Al-4V structures with interconnected macro porosity for bone implants fabricated by selective electron beam melting. Acta Biomater 4(5):1536–1544. https://doi.org/10.1016/j.actbio.2008.03.013
doi: 10.1016/j.actbio.2008.03.013
pubmed: 18467197
Wang H, Zhao B, Liu C et al (2016) A comparison of biocompatibility of a titanium alloy fabricated by electron beam melting and selective laser melting. PLoS ONE 11(7):e0158513. https://doi.org/10.1371/journal.pone.0158513
doi: 10.1371/journal.pone.0158513
pubmed: 27391895
pmcid: 4938601
de Martino I, de Santis V, Sculco PK et al (2015) Tantalum cones provide durable mid-term fixation in revision TKA. Clin Orthop Relat Res 473(10):3176–3182. https://doi.org/10.1007/s11999-015-4338-2
doi: 10.1007/s11999-015-4338-2
pubmed: 25968895
pmcid: 4562943
Bidan CM, Kommareddy KP, Rumpler M et al (2012) How linear tension converts to curvature: geometric control of bone tissue growth. PLoS ONE 7(5):e36336. https://doi.org/10.1371/journal.pone.0036336
doi: 10.1371/journal.pone.0036336
pubmed: 22606256
pmcid: 3350529
Joly P, Duda GN, Schöne M et al (2013) Geometry-driven cell organization determines tissue growths in scaffold pores: consequences for fibronectin organization. PLoS ONE 8(9):e73545. https://doi.org/10.1371/journal.pone.0073545
doi: 10.1371/journal.pone.0073545
pubmed: 24039979
pmcid: 3764044
Gehrke T, Zahar A, Kendoff D (2013) One-stage exchange: it all began here. Bone Joint J 95-B(11 Suppl A):77–83. https://doi.org/10.1302/0301-620X.95B11.32646
doi: 10.1302/0301-620X.95B11.32646
pubmed: 24187359
Murray DW, Fitzpatrick R, Rogers K et al (2007) The use of the Oxford hip and knee scores. J Bone Joint Surg Br 89(8):1010–1014. https://doi.org/10.1302/0301-620X.89B8.19424
doi: 10.1302/0301-620X.89B8.19424
pubmed: 17785736
Hamilton DF, Giesinger JM, Patton JT et al (2015) Making the Oxford Hip and Knee Scores meaningful at the patient level through normative scoring and registry data. Bone Joint Res 4(8):137–144. https://doi.org/10.1302/2046-3758.48.2000524
doi: 10.1302/2046-3758.48.2000524
pubmed: 26311163
pmcid: 4561372
Denehy KM, Abhari S, Krebs VE et al (2019) Excellent metaphyseal fixation using highly porous cones in revision total knee arthroplasty. J Arthroplasty. https://doi.org/10.1016/j.arth.2019.03.045
doi: 10.1016/j.arth.2019.03.045
pubmed: 31000405
Trombetta RP, Ninomiya MJ, El-Atawneh IM et al (2019) Calcium phosphate spacers for the local delivery of sitafloxacin and rifampin to treat orthopedic infections: efficacy and proof of concept in a mouse model of single-stage revision of device-associated osteomyelitis. Pharmaceutics. https://doi.org/10.3390/pharmaceutics11020094
doi: 10.3390/pharmaceutics11020094
pubmed: 30813284
pmcid: 6410209
Chernozem RV, Surmeneva MA, Krause B et al (2019) Functionalization of titania nanotubes with electrophoretically deposited silver and calcium phosphate nanoparticles: structure, composition and antibacterial assay. Mater Sci Eng C Mater Biol Appl 97:420–430. https://doi.org/10.1016/j.msec.2018.12.045
doi: 10.1016/j.msec.2018.12.045
pubmed: 30678928
Wang Di, Wang Y, Wu S et al (2017) Customized a Ti6Al4V bone plate for complex pelvic fracture by selective laser melting. Materials (Basel). https://doi.org/10.3390/ma10010035
doi: 10.3390/ma10010035
pubmed: 28773022
pmcid: 5793556
Gordeev EG, Galushko AS, Ananikov VP (2018) Improvement of quality of 3D printed objects by elimination of microscopic structural defects in fused deposition modeling. PLoS ONE 13(6):e0198370. https://doi.org/10.1371/journal.pone.0198370
doi: 10.1371/journal.pone.0198370
pubmed: 29879163
pmcid: 5991691
Bassous NJ, Jones CL, Webster TJ (2019) 3-D printed Ti-6Al-4V scaffolds for supporting osteoblast and restricting bacterial functions without using drugs: Predictive equations and experiments. Acta Biomater. https://doi.org/10.1016/j.actbio.2019.06.055
doi: 10.1016/j.actbio.2019.06.055
pubmed: 31279162
Papas PV, Congiusta D, Cushner FD (2019) Cementless versus cemented fixation in total knee arthroplasty. J Knee Surg 32(07):596–599. https://doi.org/10.1055/s-0039-1678687
doi: 10.1055/s-0039-1678687
pubmed: 30822792
Fricka KB, McAsey CJ, Sritulanondha S (2019) To cement or not? five-year results of a prospective, randomized study comparing cemented vs cementless total knee arthroplasty. J Arthroplasty 34(7S):S183–S187. https://doi.org/10.1016/j.arth.2019.02.024
doi: 10.1016/j.arth.2019.02.024
pubmed: 30857952
Sultan AA, Mahmood B, Samuel LT et al (2019) Cementless 3D printed highly porous titanium-coated baseplate total knee arthroplasty: survivorship and outcomes at 2-year minimum follow-up. J Knee Surg. https://doi.org/10.1055/s-0039-1677842
doi: 10.1055/s-0039-1677842
pubmed: 31779036
Mancuso F, Beltrame A, Colombo E et al (2017) Management of metaphyseal bone loss in revision knee arthroplasty. Acta Biomed 88(2S):98–111. https://doi.org/10.23750/abm.v88i2
doi: 10.23750/abm.v88i2
pubmed: 28657571
pmcid: 6178990
Abdelaziz H, Jaramillo R, Gehrke T et al (2019) Clinical survivorship of aseptic revision total knee arthroplasty using hinged knees and tantalum cones at minimum 10-year follow-up. J Arthroplasty 34(12):3018–3022. https://doi.org/10.1016/j.arth.2019.06.057
doi: 10.1016/j.arth.2019.06.057
pubmed: 31351856