Impaction Bone Grafting in Revision Total Knee Arthroplasty-Using Mesh and Cone to Contain the Defect: A Report of 3 Cases
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Impaction Bone Grafting in Revision Total Knee Arthroplasty-Using Mesh and Cone to Contain the Defect: A Report of 3 Cases. / Boettner, Friedrich; Bechler, Ulrich; Springer, Bernhard; Faschingbauer, Martin; Jungwirth-Weinberger, Anna.
in: Arthroplasty today, Jahrgang 6, Nr. 3, 09.2020, S. 578-584.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impaction Bone Grafting in Revision Total Knee Arthroplasty-Using Mesh and Cone to Contain the Defect: A Report of 3 Cases
AU - Boettner, Friedrich
AU - Bechler, Ulrich
AU - Springer, Bernhard
AU - Faschingbauer, Martin
AU - Jungwirth-Weinberger, Anna
N1 - © 2020 Published by Elsevier Inc. on behalf of The American Association of Hip and Knee Surgeons.
PY - 2020/9
Y1 - 2020/9
N2 - Uncontained tibial bone defects are a challenge in revision total knee arthroplasty. The present study reports on the results of a modified surgical technique for impaction bone grafting using metaphyseal cones and wire mesh. Three patients (2 male, 1 female; average age: 71.3 years) underwent revision total knee arthroplasty. All patients presented with uncontained medial tibial bone defects, one of the patients with an additional posterior cortical tibial split fracture. All cases were treated with a metaphyseal cone and outside mesh to create a contained defect. Between the mesh and cone, fresh frozen cancellous chips mixed with β-tricalcium phosphate were impacted. No evidence of loosening or osteolysis was present at 3.6-year follow-up. Impaction bone grafting using an outside mesh and inside cone for defect containment provides a durable reconstruction of tibial bone defects.
AB - Uncontained tibial bone defects are a challenge in revision total knee arthroplasty. The present study reports on the results of a modified surgical technique for impaction bone grafting using metaphyseal cones and wire mesh. Three patients (2 male, 1 female; average age: 71.3 years) underwent revision total knee arthroplasty. All patients presented with uncontained medial tibial bone defects, one of the patients with an additional posterior cortical tibial split fracture. All cases were treated with a metaphyseal cone and outside mesh to create a contained defect. Between the mesh and cone, fresh frozen cancellous chips mixed with β-tricalcium phosphate were impacted. No evidence of loosening or osteolysis was present at 3.6-year follow-up. Impaction bone grafting using an outside mesh and inside cone for defect containment provides a durable reconstruction of tibial bone defects.
U2 - 10.1016/j.artd.2020.07.001
DO - 10.1016/j.artd.2020.07.001
M3 - SCORING: Journal article
C2 - 32802928
VL - 6
SP - 578
EP - 584
JO - Arthroplasty today
JF - Arthroplasty today
SN - 2352-3441
IS - 3
ER -