The management of bone loss in revision total knee arthroplasty rebuild, reinforce, and augment

P. K. Sculco, Matthew Abdel, A. D. Hanssen, D. G. Lewallen

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

The treatment of bone loss in revision total knee arthroplasty has evolved over the past decade. While the management of small to moderate sized defects has demonstrated good results with a variety of traditional techniques (cement and screws, small metal augments, impaction bone grafting or modular stems), the treatment of severe defects continues to be problematic. The use of a structural allograft has declined in recent years due to an increased failure rate with long-term follow-up and with the introduction of highly porous metal augments that emphasise biological metaphyseal fixation. Recently published midterm results on the use of tantalum cones in patients with severe bone loss has reaffirmed the success of this treatment strategy.

Original languageEnglish (US)
Pages (from-to)120-124
Number of pages5
JournalBone and Joint Journal
Volume98B
Issue number1
DOIs
StatePublished - Jan 1 2016

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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