Impaction Bone Grafting in Revision Total Knee Arthroplasty-Using Mesh and Cone to Contain the Defect: A Report of 3 Cases.
Impaction grafting
Metaphyseal cone
Revision total knee
Uncontained bone defect
Journal
Arthroplasty today
ISSN: 2352-3441
Titre abrégé: Arthroplast Today
Pays: United States
ID NLM: 101681808
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
14
05
2020
revised:
29
06
2020
accepted:
04
07
2020
entrez:
18
8
2020
pubmed:
18
8
2020
medline:
18
8
2020
Statut:
epublish
Résumé
Uncontained tibial bone defects are a challenge in revision total knee arthroplasty. The present study reports on the results of a modified surgical technique for impaction bone grafting using metaphyseal cones and wire mesh. Three patients (2 male, 1 female; average age: 71.3 years) underwent revision total knee arthroplasty. All patients presented with uncontained medial tibial bone defects, one of the patients with an additional posterior cortical tibial split fracture. All cases were treated with a metaphyseal cone and outside mesh to create a contained defect. Between the mesh and cone, fresh frozen cancellous chips mixed with β-tricalcium phosphate were impacted. No evidence of loosening or osteolysis was present at 3.6-year follow-up. Impaction bone grafting using an outside mesh and inside cone for defect containment provides a durable reconstruction of tibial bone defects.
Identifiants
pubmed: 32802928
doi: 10.1016/j.artd.2020.07.001
pii: S2352-3441(20)30120-5
pmc: PMC7419255
doi:
Types de publication
Case Reports
Langues
eng
Pagination
578-584Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.
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