Metaphyseal sleeves as the primary implant for the management of bone defects in total knee arthroplasty after post-traumatic knee arthritis

The Knee ◽  
2018 ◽  
Vol 25 (4) ◽  
pp. 669-675 ◽  
Author(s):  
Carlos Martín-Hernández ◽  
Luis Javier Floría-Arnal ◽  
Andrés Gómez-Blasco ◽  
Alberto Hernández-Fernández ◽  
Cristian Pinilla-Gracia ◽  
...  
Author(s):  
Bahaa Ali Kornah ◽  
Hesham Mohamed Safwat ◽  
Said K. Abdel-hameed ◽  
Mohamed Abdel-AAl ◽  
Mohamed Abdelaziz ◽  
...  

2020 ◽  
Author(s):  
Yu-Kai Tseng ◽  
Yen-Nien Chen ◽  
Chih-Han Chang ◽  
Kuo-An Lai ◽  
Chyun-Yu Yang ◽  
...  

Abstract Background It is technical demanding to execute primary total knee arthroplasty (TKA) for post-traumatic knee arthritis with periarticular implants. Our purpose is to present a simple extramedullary guide technique and report the clinical results of our series of primary TKAs in patients with post-traumatic arthritis without hardware removal. Methods Between April 2014 and March 2019, a series of seven patients with post-traumatic knee arthritis and retained hardware were included. All the surgeries were performed by the same surgeon. The mean age of the patients was 67 years. All the index procedures were performed with primary TKAs by the same surgeon according to simple extramedullary technique. The parallelism between the distal femoral and proximal tibial cuts as well as the required limb alignments were verified intra-operatively. Radiographic measurements and clinical outcomes were reviewed retrospectively. Results Overall, there was a good restoration of postoperative mechanical alignment in all cases. The mean post-operative Hip-Knee-Ankle (HKA) angle was 179.4°. No patient required allogenic blood transfusion or prolonged hospital stays. No surgical site-specific complications were noted by chart review. In the last follow-up, no implant failure was found. Clinical assessments according to knee society score showed good knee scores (89.1), functional scores (87.9) and motion arc (112.9). Conclusions Our results show that post-traumatic knee arthritis can be safely managed with this extramedullary method without hardware removal.


2016 ◽  
Vol 51 (5) ◽  
pp. 614-618
Author(s):  
Jader Joel Machado Junqueira ◽  
Camilo Partezani Helito ◽  
Marcelo Batista Bonadio ◽  
Jose Ricardo Pécora ◽  
Marco Kawamura Demange

2019 ◽  
Vol 48 (3) ◽  
pp. 030006051989128
Author(s):  
Fuyou Wang ◽  
Hao Chen ◽  
Pengfei Yang ◽  
Aikeremujiang Muheremu ◽  
Peng He ◽  
...  

Chronic inflammation and bone defects after total knee arthroplasty are a challenge for the orthopedic surgeon. There have been few reports on application of a three-dimensional (3D) printed porous tantalum prosthesis in such situations. We report an 83-year-old female patient who presented to our clinic with consistent pain of the left knee for 10 years and a severe decline in mobility for 2 years. Chronic inflammation, loosening of a tibial prosthesis with a bone defect, and severe osteoporosis were diagnosed. The patient was treated with computer designed and manufactured, personalized, 3D printed porous pure tantalum pad-assisted left total knee arthroplasty. The surgery went smoothly and the patient achieved a satisfactory recovery after surgery. A 3D printed porous tantalum prosthesis can be used to reconstruct tibial bone defects in patients with chronic inflammation after joint replacement surgeries.


2020 ◽  
Vol 35 (2) ◽  
pp. 371-374 ◽  
Author(s):  
Bryan S. Brockman ◽  
Jeremiah J. Maupin ◽  
Samuel F. Thompson ◽  
Kimberly M. Hollabaugh ◽  
Rishi Thakral

2014 ◽  
Vol 29 (12) ◽  
pp. 2280-2284 ◽  
Author(s):  
Yukihide Minoda ◽  
Taku Yoshida ◽  
Kazutaka Sugimoto ◽  
Shinogo Baba ◽  
Mitssuhiko Ikebuchi ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document