Metaphyseal cones and sleeves in revision total knee arthroplasty: Two sides of the same coin? Complications, clinical and radiological results-a systematic review of the literature
| Autor: | Stefano Divano, G Burastero, Luca Cavagnaro, Lamberto Felli, Matteo Formica, Andrea Zanirato |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Reoperation
medicine.medical_specialty Periprosthetic Prosthesis Design 03 medical and health sciences Revision total knee arthroplasty · Bone defect · Metaphyseal sleeves · Metaphyseal cones · Results · Complications Postoperative Complications 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Prospective Studies Arthroplasty Replacement Knee Prospective cohort study Survival rate Retrospective Studies Fixation (histology) 030222 orthopedics business.industry 030229 sport sciences Surgery Radiography Treatment Outcome Radiological weapon Orthopedic surgery Aseptic processing Knee Prosthesis business Revision total knee arthroplasty |
| Popis: | Revision total knee arthroplasty (rTKA) is increasing of relevance in orthopaedic surgeon daily practice and this trend is likely to continue in the years ahead. The aim of this systematic review of English literature is to summarize and compare indications, complications, clinical and radiological results of metaphyseal cones and sleeves in management of bone loss in rTKA. Retrospective or prospective studies with at least 1 year of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review. Clinical and radiological results, rates of intraoperative fractures, aseptic loosening, periprosthetic joint infection, septic failure, reoperations and re-revisions were extrapolated by the papers. Thirty-seven articles were included in the systematic review. Results of 927 cones (mean FU of 3.6 ± 1.4 years) and 1801 sleeves (mean FU of 4.5 ± 1.6 years) were analysed. The studies showed good clinical and functional outcomes. Cones and sleeves allowed a stable metaphyseal fixation. The aseptic survivorship of the implants was 97.3% in cones group and 97.8% in sleeves group. Metaphyseal cones and sleeves represent a viable option in management of type IIb and III AORI bone defects in aseptic and septic TKAr with overlapping survival rate. Further high-quality long-term studies would better clarify complications, clinical and radiological results of these promising techniques in revision total knee arthroplasty. |
| Databáze: | OpenAIRE |
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