| Autor: |
Xiao T. Chen, MD, Michael W. Seward, MD, Robert T. Trousdale, MD, David G. Lewallen, MD, Matthew P. Abdel, MD, Nicholas A. Bedard, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Arthroplasty Today, Vol 30, Iss , Pp 101477- (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2352-3441 |
| DOI: |
10.1016/j.artd.2024.101477 |
| Popis: |
Metaphyseal cones are frequently used in revision total knee arthroplasties (TKAs). However, during subsequent aseptic re-revisions, removing a well-fixed cone can be difficult. One innovative option is to retain the well-fixed cone and cement a new, stemmed revision component through the retained cone, yet minimal data exist on this technique. We describe a technique for retaining a well-fixed cone during re-revision TKA and report outcomes in 6 patients with 6 well-fixed metaphyseal cones. At a mean of 4 years follow-up, no retained cones with a new femoral or tibial component with stems were revised and there was no radiographic evidence of aseptic loosening. These early data suggest that retaining a well-fixed cone can be safe in re-revision TKA to minimize morbidity associated with cone removal. Level of evidence: IV (retrospective study). |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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