Bone Defects in Revision Total Knee Arthroplasty
Abstract The increase in the number of revision total knee arthroplasty surgeries has been observed in recent years, worldwide, for several causes. In the United States, a 601% increase in the number of total knee arthroplasties, between 2005 and 2030, is estimated. Among the enormous challenges of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2021-06-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200138&tlng=en |
| _version_ | 1797330292195721216 |
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| author | Alan de Paula Mozella Hugo Alexandre de Araújo Barros Cobra |
| author_facet | Alan de Paula Mozella Hugo Alexandre de Araújo Barros Cobra |
| author_sort | Alan de Paula Mozella |
| collection | DOAJ |
| description | Abstract The increase in the number of revision total knee arthroplasty surgeries has been observed in recent years, worldwide, for several causes. In the United States, a 601% increase in the number of total knee arthroplasties, between 2005 and 2030, is estimated. Among the enormous challenges of this complex surgery, the adequate treatment of bone defects is essential to obtain satisfactory and lasting results. The adequate treatment of bone defects aims to build a stable and lasting support platform for the implantation of the definitive prosthetic components and, if possible, with the reconstruction of bone stock. Concomitantly, it allows the correct alignment of the prosthetic and limb components, as well as restoring the height of the joint interline and, thus, restoring the tension of soft parts and load distribution to the host bone, generating a joint reconstruction with good function, stable, and painless. There are several options for the management of these bone defects, among them: bone cement with or without reinforcement with screws, modular metallic augmentations, impacted bone graft, structural homologous graft and, more recently, metal metaphyseal cones, and metaphyseal sleeves. The objective of the present article was to gather classic information and innovations about the main aspects related to the treatment of bone defects during revision surgeries for total knee arthroplasty. |
| first_indexed | 2024-03-08T07:17:46Z |
| format | Article |
| id | doaj.art-b729bd0c97ad4dc492b5ce45b0ade039 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:17:46Z |
| publishDate | 2021-06-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-b729bd0c97ad4dc492b5ce45b0ade0392024-02-03T00:34:13ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782021-06-0156213814610.1055/s-0040-1713392Bone Defects in Revision Total Knee ArthroplastyAlan de Paula Mozellahttps://orcid.org/0000-0001-5855-5808Hugo Alexandre de Araújo Barros CobraAbstract The increase in the number of revision total knee arthroplasty surgeries has been observed in recent years, worldwide, for several causes. In the United States, a 601% increase in the number of total knee arthroplasties, between 2005 and 2030, is estimated. Among the enormous challenges of this complex surgery, the adequate treatment of bone defects is essential to obtain satisfactory and lasting results. The adequate treatment of bone defects aims to build a stable and lasting support platform for the implantation of the definitive prosthetic components and, if possible, with the reconstruction of bone stock. Concomitantly, it allows the correct alignment of the prosthetic and limb components, as well as restoring the height of the joint interline and, thus, restoring the tension of soft parts and load distribution to the host bone, generating a joint reconstruction with good function, stable, and painless. There are several options for the management of these bone defects, among them: bone cement with or without reinforcement with screws, modular metallic augmentations, impacted bone graft, structural homologous graft and, more recently, metal metaphyseal cones, and metaphyseal sleeves. The objective of the present article was to gather classic information and innovations about the main aspects related to the treatment of bone defects during revision surgeries for total knee arthroplasty.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200138&tlng=enarthroplasty, replacement, kneebone defectshomologous graftsreview |
| spellingShingle | Alan de Paula Mozella Hugo Alexandre de Araújo Barros Cobra Bone Defects in Revision Total Knee Arthroplasty Revista Brasileira de Ortopedia arthroplasty, replacement, knee bone defects homologous grafts review |
| title | Bone Defects in Revision Total Knee Arthroplasty |
| title_full | Bone Defects in Revision Total Knee Arthroplasty |
| title_fullStr | Bone Defects in Revision Total Knee Arthroplasty |
| title_full_unstemmed | Bone Defects in Revision Total Knee Arthroplasty |
| title_short | Bone Defects in Revision Total Knee Arthroplasty |
| title_sort | bone defects in revision total knee arthroplasty |
| topic | arthroplasty, replacement, knee bone defects homologous grafts review |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000200138&tlng=en |
| work_keys_str_mv | AT alandepaulamozella bonedefectsinrevisiontotalkneearthroplasty AT hugoalexandredearaujobarroscobra bonedefectsinrevisiontotalkneearthroplasty |