The role of isolated polyethylene exchange in total knee arthroplasty
| Autor: | Stephen M. Petis, Hee Nee Pang, Douglas D.R. Naudie, Hamid Rahmatullah Bin Abd Razak, Steven J. MacDonald |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Isolated Polyethylene Exchange Osteolysis Bone stock business.industry Total Knee Arthroplasty Revision Total knee arthroplasty medicine.disease Surgery Medium term Polyethylene insert 03 medical and health sciences 0302 clinical medicine Blood loss medicine Operating time Orthopedics and Sports Medicine Knee 030212 general & internal medicine business Arthrofibrosis |
| Zdroj: | EFORT Open Reviews |
| ISSN: | 2058-5241 |
| Popis: | The use of modular total knee arthroplasty (TKA) implants allows surgeons to perform isolated tibial polyethylene insert exchange (IPE) while retaining well-fixed and stable components. The purported advantages of IPE include preservation of bone stock, shorter operating time, less blood loss, faster rehabilitation and lower cost. However, the indications for IPE are limited. IPE for wear and osteolysis has moderate success in the medium term but should be avoided in cases of accelerated wear. In selected cases, debridement and IPE for early infection can result in low morbidity with high success rates in the short term. IPE for arthrofibrosis has poor results. IPE should be undertaken with caution and an institutional algorithm should be followed. Cite this article: EFORT Open Rev 2017;2:66–71 DOI: 10.1302/2058-5241.2.160049 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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