Treatment of Severe Bone Defects During Revision Total Knee Arthroplasty with Structural Allografts and Porous Metal Cones: A Systematic Review
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Treatment of Severe Bone Defects During Revision Total Knee Arthroplasty with Structural Allografts and Porous Metal Cones : A Systematic Review. / Beckmann, Nicholas A; Mueller, Sebastian; Gondan, Matthias; Jaeger, Sebastian; Reiner, Tobias; Bitsch, Rudi G.
In: Journal of Arthroplasty, Vol. 30, No. 2, 2015, p. 249–253.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Treatment of Severe Bone Defects During Revision Total Knee Arthroplasty with Structural Allografts and Porous Metal Cones
T2 - A Systematic Review
AU - Beckmann, Nicholas A
AU - Mueller, Sebastian
AU - Gondan, Matthias
AU - Jaeger, Sebastian
AU - Reiner, Tobias
AU - Bitsch, Rudi G
N1 - Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.
PY - 2015
Y1 - 2015
N2 - Aseptic loosening and focal osteolysis are the most common reasons for knee arthroplasty failure. The best treatment remains unclear. We reviewed the literature on the treatment of revision knee arthroplasty using bony structural allografts (476 cases) and porous metal cones (223 cases) to determine if a difference in the revision failure rates was discernable. The failure rates were compared using a logistic regression model with adjustment for discrepancies in FU time and number of grafts used (femoral, tibial, or both). In this analysis, the porous implant shows a significantly decreased loosening rate in AORI 2 and 3 defects. The overall failure rate was also substantially lower in the porous metal group than the structural allograft group; little difference in the infection rates was noted.
AB - Aseptic loosening and focal osteolysis are the most common reasons for knee arthroplasty failure. The best treatment remains unclear. We reviewed the literature on the treatment of revision knee arthroplasty using bony structural allografts (476 cases) and porous metal cones (223 cases) to determine if a difference in the revision failure rates was discernable. The failure rates were compared using a logistic regression model with adjustment for discrepancies in FU time and number of grafts used (femoral, tibial, or both). In this analysis, the porous implant shows a significantly decreased loosening rate in AORI 2 and 3 defects. The overall failure rate was also substantially lower in the porous metal group than the structural allograft group; little difference in the infection rates was noted.
KW - Faculty of Social Sciences
KW - allograft
KW - porous metal
KW - tantalum
KW - knee revision arthroplasty
KW - AORI
KW - knee defects
U2 - 10.1016/j.arth.2014.09.016
DO - 10.1016/j.arth.2014.09.016
M3 - Journal article
C2 - 25445853
VL - 30
SP - 249
EP - 253
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
SN - 0883-5403
IS - 2
ER -
ID: 129916594