Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty
Abstract Background In primary total knee arthroplasty (TKA), tibial bone defects ≥ 10 mm in depth often become uncontained defects, a condition most surgeons find challenging to treat. Although the allogenous bone graft is a useful method, complications such as infection and nonunion are likely to...
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-022-05491-7 |
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| author | Dai Iwase Yukie Metoki Yasuaki Kusumoto Jun Aikawa Kensuke Fukushima Shotaro Takano Manabu Mukai Kentaro Uchida Gen Inoue Masashi Takaso |
| author_facet | Dai Iwase Yukie Metoki Yasuaki Kusumoto Jun Aikawa Kensuke Fukushima Shotaro Takano Manabu Mukai Kentaro Uchida Gen Inoue Masashi Takaso |
| author_sort | Dai Iwase |
| collection | DOAJ |
| description | Abstract Background In primary total knee arthroplasty (TKA), tibial bone defects ≥ 10 mm in depth often become uncontained defects, a condition most surgeons find challenging to treat. Although the allogenous bone graft is a useful method, complications such as infection and nonunion are likely to occur. There are several reports on the use of allogenous bone graft in revision TKA; however, few studies have investigated its use in primary TKA. We performed primary TKA using the allogenous bone graft as a structural bone graft to treat uncontained defects ≥ 10 mm in depth. This study aimed to assess the clinical and radiographical results after primary TKA with allogenous structural bone graft (ASBG). Methods Seventeen patients (mean age, 69.2 years) with a follow-up period of at least 7 years, were retrospectively reviewed. All cases had been treated for medial bone defects using the ipsilateral medial tibial allogenous bone. Clinical evaluation included the assessment of the knee and function scores and knee angle, and the hip-knee-ankle (HKA) angle, bone union, and radiolucent line (RL) were assessed radiologically. Results The mean depth of the medial tibial defects after tibia cutting was 16.8 mm. Nonunion occurred in one case, and RL occurred in another. We observed a significant difference when the preoperative knee score and HKA angle of patients was compared with that at 1 year postoperatively and the final evaluation. No major complications were observed. Conclusion The ASBG technique produced favorable surgical outcomes and may be an acceptable procedure for managing uncontained tibial bone defects ≥ 10 mm in depth in primary TKA. |
| first_indexed | 2024-04-13T20:13:02Z |
| format | Article |
| id | doaj.art-8fef6d10a0524ae485447e94214a073f |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-13T20:13:02Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-8fef6d10a0524ae485447e94214a073f2022-12-22T02:31:47ZengBMCBMC Musculoskeletal Disorders1471-24742022-06-012311810.1186/s12891-022-05491-7Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplastyDai Iwase0Yukie Metoki1Yasuaki Kusumoto2Jun Aikawa3Kensuke Fukushima4Shotaro Takano5Manabu Mukai6Kentaro Uchida7Gen Inoue8Masashi Takaso9Department of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Physical Therapy, Fukushima Medical University School of Health SciencesDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineDepartment of Orthopedic Surgery, Kitasato University School of MedicineAbstract Background In primary total knee arthroplasty (TKA), tibial bone defects ≥ 10 mm in depth often become uncontained defects, a condition most surgeons find challenging to treat. Although the allogenous bone graft is a useful method, complications such as infection and nonunion are likely to occur. There are several reports on the use of allogenous bone graft in revision TKA; however, few studies have investigated its use in primary TKA. We performed primary TKA using the allogenous bone graft as a structural bone graft to treat uncontained defects ≥ 10 mm in depth. This study aimed to assess the clinical and radiographical results after primary TKA with allogenous structural bone graft (ASBG). Methods Seventeen patients (mean age, 69.2 years) with a follow-up period of at least 7 years, were retrospectively reviewed. All cases had been treated for medial bone defects using the ipsilateral medial tibial allogenous bone. Clinical evaluation included the assessment of the knee and function scores and knee angle, and the hip-knee-ankle (HKA) angle, bone union, and radiolucent line (RL) were assessed radiologically. Results The mean depth of the medial tibial defects after tibia cutting was 16.8 mm. Nonunion occurred in one case, and RL occurred in another. We observed a significant difference when the preoperative knee score and HKA angle of patients was compared with that at 1 year postoperatively and the final evaluation. No major complications were observed. Conclusion The ASBG technique produced favorable surgical outcomes and may be an acceptable procedure for managing uncontained tibial bone defects ≥ 10 mm in depth in primary TKA.https://doi.org/10.1186/s12891-022-05491-7Tibial bone defectRadiographyPrimary total knee arthroplastyBone graftAllogenous structural bone graft |
| spellingShingle | Dai Iwase Yukie Metoki Yasuaki Kusumoto Jun Aikawa Kensuke Fukushima Shotaro Takano Manabu Mukai Kentaro Uchida Gen Inoue Masashi Takaso Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty BMC Musculoskeletal Disorders Tibial bone defect Radiography Primary total knee arthroplasty Bone graft Allogenous structural bone graft |
| title | Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| title_full | Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| title_fullStr | Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| title_full_unstemmed | Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| title_short | Using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| title_sort | using allogenous structural bone graft for uncontained tibial bone defects ≥ 10 mm in depth in primary total knee arthroplasty |
| topic | Tibial bone defect Radiography Primary total knee arthroplasty Bone graft Allogenous structural bone graft |
| url | https://doi.org/10.1186/s12891-022-05491-7 |
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