Review article: Treatments for bone loss in revision total knee arthroplasty

被引:50
作者
Qiu, Yi Yan [1 ]
Yan, Chun Hoi [1 ]
Chiu, Kwong Yuen [1 ]
Ng, Fu Yuen [1 ]
机构
[1] Univ Hong Kong, Dept Orthopaed & Traumatol, Hong Kong, Hong Kong, Peoples R China
关键词
arthroplasty; replacement; knee; bone cements; bone transplantation; reoperation; tantalum;
D O I
10.1177/230949901202000116
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Bone deficiency hinders implant alignment and stabilisation of the bone-implant interface in revision total knee arthroplasty (TKA). Treatments for bone defects include bone cement, bone cement with screw reinforcement, metal augments, impaction bone grafts, structural allografts, and tantalum, depending on the location and size of the defects. Small defects are usually treated with cement, cement plus screws, or impaction allograft bone. Large defects are repaired with structural allografts or metal augments. Recent developments involve the use of highly porous osteoconductive tantalum. We reviewed the pros and cons of each method for bone defect management in revision TKA.
引用
收藏
页码:78 / 86
页数:9
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