The use of structural autograft for massive bone defects in primary total knee replacement
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2006, Vol 8, Issue 2
Abstract
Background. Large osseous defects are occasionally present at the site of a primary total knee arthroplasty. Such defects may be treated with the augments and wedges that constitute an integral part of modern knee systems, replacing deficient bone. The use of structural bone grafts is a viable alternative for the treatment of massive bone loss. Material and methods. In 2004 in our department we treated 6 patients with severe gonarthrosis (grade V according to Ahlbäck), with large bone defects involving one-third of the medial tibial condyle. In 4 patients (3 women) we performed unilateral primary arthroplasty, and in 2 patients (1 woman), bilateral. In all 8 cases we implanted a posterior stabilized, cemented, total knee prosthesis. To achieve axial implantation of the prosthesis and stable fixation of the components, we performed osseous reconstruction of the medial tibial condyle using autologous structural bone grafts. Grafts originating from the femoral condyles and lateral tibial condyle were fixed with cancellous screws. Results. In clinical examination we observed an average 70-point postoperative increase in knee function according to the Hospital for Special Surgery system. None of the patients have clinical or radiological signs of implant loosening. Subjective evaluation of the outcome of TKA revealed good and excellent results. Conclusions. Structural autologous bone grafts can be successfully used for reconstruction of large osseous defects in selected cases of severe gonarthrosis.
Authors and Affiliations
Adam Pierzchała, Damian Kusz
Keywords
Related Articles
- EP ID EP56513
- DOI -
- Views 71
- Downloads 0
Evaluation of Treatment Outcomes of Periprosthetic Femoral Fractures after Hip Replacement Surgery
Background. The aim of this paper is to evaluate treatment outcomes of periprosthetic femoral fractures (PFFs) after total hip arthroplasty (THA).Material and methods. The study group consisted of 119 patients (125 proce...
Zasady profilaktyki żylnej choroby zakrzepowo-zatorowej w ortopedii i traumatologii narządu ruchu (aktualizacja z dnia 18.02.2014)
Wyniki całkowitej bezcementowej alloplastyki stawu biodrowego z zastosowaniem trzpienia Corail
Streszczenie Wprowadzenie. Celem pracy jest przedstawienie wyników zabiegów alloplastyk stawu biodrowego z zastosowaniem pokrywanego hydroksyapatytem trzpienia Corail. Materiał i metody. Do badań zakwalifikowano 134 pacj...
Methods of reconstruction of large bone defects after tumor resection
Large bone defects resulting from the resection of tumors and tumor-like lesions must be repaired. The method of reconstruction depends on the diagnosis and the tumor location. Post-resection endoprostheses or large allo...
Dislocation of the patella in a patient with Rubinstein-Taybi syndrome – a case study.
The Rubinstein-Taybi syndrome is a rare syndrome of congenital disorders whose etiology is still unknown. Most RTS patients have musculoskeletal abnormalities which, if untreated, may significantly affect independent mo...