RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00042410.xml
PDF herunterladen
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(02): 138-146
DOI: 10.1055/s-0040-1713392
DOI: 10.1055/s-0040-1713392
Artigo de Atualização
Joelho
Bone Defects in Revision Total Knee Arthroplasty
Artikel in mehreren Sprachen: português | English
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.
Publikationsverlauf
Eingereicht: 05. Januar 2020
Angenommen: 15. April 2020
Artikel online veröffentlicht:
25. September 2020
© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
Referências
- 1 Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am 2007; 89 (04) 780-785
- 2 Bozic KJ, Kurtz SM, Lau E. et al. The epidemiology of revision total knee arthroplasty in the United States. Clin Orthop Relat Res 2010; 468 (01) 45-51
- 3 Bozic KJ, Kamath AF, Ong K. et al. Comparative Epidemiology of Revision Arthroplasty: Failed THA Poses Greater Clinical and Economic Burdens Than Failed TKA. Clin Orthop Relat Res 2015; 473 (06) 2131-2138
- 4 Delanois RE, Mistry JB, Gwam CU, Mohamed NS, Choksi US, Mont MA. Current Epidemiology of Revision Total Knee Arthroplasty in the United States. J Arthroplasty 2017; 32 (09) 2663-2668
- 5 Chalmers BP, Pallante GD, Sierra RJ, Lewallen DG, Pagnano MW, Trousdale RT. Contemporary Revision Total Knee Arthroplasty in Patients Younger Than 50 Years: 1 in 3 Risk of Re-Revision by 10 Years. J Arthroplasty 2019; 34 (7S): S266-S270
- 6 Sculco PK, Abdel MP, Hanssen AD, Lewallen DG. The management of bone loss in revision total knee arthroplasty: rebuild, reinforce, and augment. Bone Joint J 2016; 98-B (1, Suppl A) 120-124
- 7 Chalmers BP, Desy NM, Pagnano MW, Trousdale RT, Taunton MJ. Survivorship of Metaphyseal Sleeves in Revision Total Knee Arthroplasty. J Arthroplasty 2017; 32 (05) 1565-1570
- 8 Beckmann NA, Mueller S, Gondan M, Jaeger S, Reiner T, Bitsch RG. Treatment of severe bone defects during revision total knee arthroplasty with structural allografts and porous metal cones-a systematic review. J Arthroplasty 2015; 30 (02) 249-253
- 9 Huten D. Femorotibial bone loss during revision total knee arthroplasty. Orthop Traumatol Surg Res 2013; 99 (1, Suppl) S22-S33
- 10 Vasso M, Beaufils P, Cerciello S, Schiavone Panni A. Bone loss following knee arthroplasty: potential treatment options. Arch Orthop Trauma Surg 2014; 134 (04) 543-553
- 11 Mancuso F, Beltrame A, Colombo E, Miani E, Bassini F. Management of metaphyseal bone loss in revision knee arthroplasty. Acta Biomed 2017; 88 (2S): 98-111
- 12 Sheth NP, Bonadio MB, Demange MK. Bone Loss in Revision Total Knee Arthroplasty: Evaluation and Management. J Am Acad Orthop Surg 2017; 25 (05) 348-357
- 13 Dalling JG, Math K, Scuderi GR. Evaluating the progression of osteolysis after total knee arthroplasty. J Am Acad Orthop Surg 2015; 23 (03) 173-180
- 14 Nadaud MC, Fehring TK, Fehring K. Underestimation of osteolysis in posterior stabilized total knee arthroplasty. J Arthroplasty 2004; 19 (01) 110-115
- 15 Panegrossi G, Ceretti M, Papalia M, Casella F, Favetti F, Falez F. Bone loss management in total knee revision surgery. Int Orthop 2014; 38 (02) 419-427
- 16 Minoda Y, Yoshida T, Sugimoto K, Baba S, Ikebuchi M, Nakamura H. Detection of small periprosthetic bone defects after total knee arthroplasty. J Arthroplasty 2014; 29 (12) 2280-2284
- 17 Lei PF, Hu RY, Hu YH. Bone Defects in Revision Total Knee Arthroplasty and Management. Orthop Surg 2019; 11 (01) 15-24
- 18 Engh GA, Parks NL. The management of bone defects in revision total knee arthroplasty. Instr Course Lect 1997; 46: 227-236
- 19 Burastero G, Cavagnaro L, Chiarlone F, Alessio-Mazzola M, Carrega G, Felli L. The Use of Tantalum Metaphyseal Cones for the Management of Severe Bone Defects in Septic Knee Revision. J Arthroplasty 2018; 33 (12) 3739-3745
- 20 Lachiewicz PF, Watters TS. Porous metal metaphyseal cones for severe bone loss: when only metal will do. Bone Joint J 2014; 96-B (11, Supple A) 118-121
- 21 Divano S, Cavagnaro L, Zanirato A, Basso M, Felli L, Formica M. Porous metal cones: gold standard for massive bone loss in complex revision knee arthroplasty? A systematic review of current literature. Arch Orthop Trauma Surg 2018; 138 (06) 851-863
- 22 Bohl DD, Brown NM, McDowell MA. et al. Do Porous Tantalum Metaphyseal Cones Improve Outcomes in Revision Total Knee Arthroplasty?. J Arthroplasty 2018; 33 (01) 171-177
- 23 Cobra HAAB, Junior MCNP, Mozella AP. Homologous structural graft for treatment of bone defect during knee revision arthroplasty. Rev Bras Ortop 2013; 48 (04) 341-347
- 24 Whittaker JP, Dharmarajan R, Toms AD. The management of bone loss in revision total knee replacement. J Bone Joint Surg Br 2008; 90 (08) 981-987
- 25 Ritter MA, Keating EM, Faris PM. Screw and cement fixation of large defects in total knee arthroplasty. A sequel. J Arthroplasty 1993; 8 (01) 63-65
- 26 Berend ME, Ritter MA, Keating EM, Jackson MD, Davis KE. Use of screws and cement in primary TKA with up to 20 years follow-up. J Arthroplasty 2014; 29 (06) 1207-1210
- 27 Berend ME, Ritter MA, Keating EM, Jackson MD, Davis KE, Malinzak RA. Use of screws and cement in revision TKA with primary or revision specific prosthesis with up to 17 years followup. J Arthroplasty 2015; 30 (01) 86-89
- 28 Backstein D, Safir O, Gross A. Management of bone loss: structural grafts in revision total knee arthroplasty. Clin Orthop Relat Res 2006; 446 (446) 104-112
- 29 Chen F, Krackow KA. Management of tibial defects in total knee arthroplasty. A biomechanical study. Clin Orthop Relat Res 1994; (305) 249-257
- 30 Qiu YY, Yan CH, Chiu KY, Ng FY. Review article: Treatments for bone loss in revision total knee arthroplasty. J Orthop Surg (Hong Kong) 2012; 20 (01) 78-86
- 31 Patel JV, Masonis JL, Guerin J, Bourne RB, Rorabeck CH. The fate of augments to treat type-2 bone defects in revision knee arthroplasty. J Bone Joint Surg Br 2004; 86 (02) 195-199
- 32 Werle JR, Goodman SB, Imrie SN. Revision total knee arthroplasty using large distal femoral augments for severe metaphyseal bone deficiency: a preliminary study. Orthopedics 2002; 25 (03) 325-327
- 33 Hockman DE, Ammeen D, Engh GA. Augments and allografts in revision total knee arthroplasty: usage and outcome using one modular revision prosthesis. J Arthroplasty 2005; 20 (01) 35-41
- 34 Lotke PA, Carolan GF, Puri N. Technique for impaction bone grafting of large bone defects in revision total knee arthroplasty. J Arthroplasty 2006; 21 (04) (Suppl. 01) 57-60
- 35 Lotke PAP, Carolan GF, Puri N. Impaction grafting for bone defects in revision total knee arthroplasty. Clin Orthop Relat Res 2006; 446 (446) 99-103
- 36 Naim S, Toms AD. Impaction bone grafting for tibial defects in knee replacement surgery. Results at two years. Acta Orthop Belg 2013; 79 (02) 205-210
- 37 Hilgen V, Citak M, Vettorazzi E. et al. 10-year results following impaction bone grafting of major bone defects in 29 rotational and hinged knee revision arthroplasties: a follow-up of a previous report. Acta Orthop 2013; 84 (04) 387-391
- 38 Engh GA, Ammeen DJ. Use of structural allograft in revision total knee arthroplasty in knees with severe tibial bone loss. J Bone Joint Surg Am 2007; 89 (12) 2640-2647
- 39 Wang JW, Hsu CH, Huang CC, Lin PC, Chen WS. Reconstruction using femoral head allograft in revision total knee replacement: an experience in Asian patients. Bone Joint J 2013; 95-B (05) 643-648
- 40 Chun CH, Kim JW, Kim SH, Kim BG, Chun KC, Kim KM. Clinical and radiological results of femoral head structural allograft for severe bone defects in revision TKA--a minimum 8-year follow-up. Knee 2014; 21 (02) 420-423
- 41 Bauman RD, Lewallen DG, Hanssen AD. Limitations of structural allograft in revision total knee arthroplasty. Clin Orthop Relat Res 2009; 467 (03) 818-824
- 42 Clatworthy MG, Ballance J, Brick GW, Chandler HP, Gross AE. The use of structural allograft for uncontained defects in revision total knee arthroplasty. A minimum five-year review. J Bone Joint Surg Am 2001; 83 (03) 404-411
- 43 Meneghini RM, Lewallen DG, Hanssen AD. Use of porous tantalum metaphyseal cones for severe tibial bone loss during revision total knee replacement. Surgical technique. J Bone Joint Surg Am 2009; 91 (Suppl 2 Pt 1): 131-138
- 44 Howard JL, Kudera J, Lewallen DG, Hanssen AD. Early results of the use of tantalum femoral cones for revision total knee arthroplasty. J Bone Joint Surg Am 2011; 93 (05) 478-484
- 45 Barnett SL, Mayer RR, Gondusky JS, Choi L, Patel JJ, Gorab RS. Use of stepped porous titanium metaphyseal sleeves for tibial defects in revision total knee arthroplasty: short term results. J Arthroplasty 2014; 29 (06) 1219-1224
- 46 Huang R, Barrazueta G, Ong A. et al. Revision total knee arthroplasty using metaphyseal sleeves at short-term follow-up. Orthopedics 2014; 37 (09) e804-e809
- 47 Schmitz HC, Klauser W, Citak M, Al-Khateeb H, Gehrke T, Kendoff D. Three-year follow up utilizing tantal cones in revision total knee arthroplasty. J Arthroplasty 2013; 28 (09) 1556-1560
- 48 Rao BM, Kamal TT, Vafaye J, Moss M. Tantalum cones for major osteolysis in revision knee replacement. Bone Joint J 2013; 95-B (08) 1069-1074
- 49 Mozella AdeP, Olivero RR, Alexandre H, Cobra AB. Use of a trabecular metal cone made of tantalum, to treat bone defects during revision knee arthroplasty. Rev Bras Ortop 2014; 49 (03) 245-251
- 50 Girerd D, Parratte S, Lunebourg A. et al. Total knee arthroplasty revision with trabecular tantalum cones: Preliminary retrospective study of 51 patients from two centres with a minimal 2-year follow-up. Orthop Traumatol Surg Res 2016; 102 (04) 429-433
- 51 Villanueva-Martínez M, De la Torre-Escudero B, Rojo-Manaute JM, Ríos-Luna A, Chana-Rodriguez F. Tantalum cones in revision total knee arthroplasty. A promising short-term result with 29 cones in 21 patients. J Arthroplasty 2013; 28 (06) 988-993
- 52 Kamath AF, Lewallen DG, Hanssen AD. Porous tantalum metaphyseal cones for severe tibial bone loss in revision knee arthroplasty: a five to nine-year follow-up. J Bone Joint Surg Am 2015; 97 (03) 216-223
- 53 Potter III GD, Abdel MP, Lewallen DG, Hanssen AD. Midterm Results of Porous Tantalum Femoral Cones in Revision Total Knee Arthroplasty. J Bone Joint Surg Am 2016; 98 (15) 1286-1291
- 54 Alexander GE, Bernasek TL, Crank RL, Haidukewych GJ. Cementless metaphyseal sleeves used for large tibial defects in revision total knee arthroplasty. J Arthroplasty 2013; 28 (04) 604-607
- 55 Fraser JF, Werner S, Jacofsky DJ. Wear and loosening in total knee arthroplasty: a quick review. J Knee Surg 2015; 28 (02) 139-144
- 56 Höll S, Schlomberg A, Gosheger G. et al. Distal femur and proximal tibia replacement with megaprosthesis in revision knee arthroplasty: a limb-saving procedure. Knee Surg Sports Traumatol Arthrosc 2012; 20 (12) 2513-2518
- 57 Barry JJ, Thielen Z, Sing DC, Yi PH, Hansen EN, Ries M. Length of Endoprosthetic Reconstruction in Revision Knee Arthroplasty Is Associated With Complications and Reoperations. Clin Orthop Relat Res 2017; 475 (01) 72-79