改良全膝关节置换术中胫骨骨丢失的外科治疗:钽锥、钛锥和钛套的临床结果和影像学分析。

Q3 Medicine

The Iowa orthopaedic journal Pub Date : 2022-06-01

Emmanuel Gibon, Terrie Vasilopoulos, Edvinas Sipavicius, Justin T Deen, Hernan A Prieto, Chancellor F Gray, Hari K Parvataneni, Luis Pulido

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引用次数: 0

摘要

背景:在全膝关节置换术(TKA)中，干骺端锥和套管的使用提高了处理胫骨骨丢失的能力。本研究的目的是比较三种系统用于改良TKA胫骨干骺端重建的结果。方法:我们对连续723例tka翻修术进行回顾性分析，包括145例(20%)采用胫骨锥或胫骨套进行膝关节翻修术。我们比较了多孔钽(TM)锥、钛(Ti)锥和钛套管。平均随访时间为2.5年。结果:各组因任何原因的修改率相似。在平均随访2.5年期间，所有系统的无修复生存率相似(TM锥管93%，Ti锥管94%，钛套管89%)。钛锥的并发症发生率(6%)低于TM锥(24%)和套管(29%)。TM锥(15%)和钛套管(13%)的再手术率(任何原因)都高于Ti锥(2%)。套筒的x线摄影松动率(11%)高于TM和Ti锥(2%)。结论:使用钽锥、钛锥和钛套重建改良TKA中胫骨骨缺损的干骺端重建在平均随访2.5年后取得了成功和相似的早期临床结果，钛套的放射学松动率较高。证据水平:III。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Surgical Management of Tibial Bone Loss in Revision Total Knee Arthroplasty: Clinical Outcomes and Radiographic Analysis of Tantalum Cones, Titanium Cones and Titanium Sleeves.

本刊更多论文

Surgical Management of Tibial Bone Loss in Revision Total Knee Arthroplasty: Clinical Outcomes and Radiographic Analysis of Tantalum Cones, Titanium Cones and Titanium Sleeves.

Background: The use of metaphyseal cones and sleeves has improved the ability to manage tibial bone loss in revision total knee arthroplasty (TKA). The purpose of this study was to compare the outcomes of three systems used for tibial metaphyseal reconstruction in revision TKA.

Methods: We performed a retrospective review of a consecutive series of 723 revision TKAs, including 145 (20%) knee revisions using tibial cones or sleeves. We compared porous tantalum (TM) cones, titanium (Ti) cones and titanium sleeves. The mean follow-up was 2.5 years.

Results: The rate of revision for any reason was similar among all groups. Revision-free survival rates were similar among all systems studied at a mean follow-up of 2.5 years (TM cones 93%, Ti cones 94%, titanium sleeves 89%). Ti cones had a lower complication rate (6%) compared to TM cones (24%) and sleeves (29%). TM cones (15%) and titanium sleeves (13%) had higher reoperation rates (for any cause) than Ti cones (2%). Radiographic loosening was higher for sleeves (11%) than TM and Ti cones (2%).

Conclusion: Metaphyseal reconstruction for tibial bone loss in revision TKA using tantalum cones, titanium cones and titanium sleeves showed successful and comparable early clinical outcomes at a mean follow-up of 2.5 years with higher rates of radiographic loosening for titanium sleeves. Level of Evidence: III.

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来源期刊

The Iowa orthopaedic journal Medicine-Medicine (all)

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Any original article relevant to orthopaedic surgery, orthopaedic science or the teaching of either will be considered for publication in The Iowa Orthopaedic Journal. Articles will be enthusiastically received from alumni, visitors to the department, members of the Iowa Orthopaedic Society, residents, and friends of The University of Iowa Department of Orthopaedics and Rehabilitation. The journal is published every June.