Bone deficiency in total knee arthroplasty. Use of metal wedge augmentation.
Twenty-eight knees in 25 patients with a metal wedge augmentation for tibial bone deficiency were reviewed at 2.3 +/- 0.6 years (range, 2-3.5) after surgery. A medial side wedge was used in 24 knees and a lateral side wedge in four. The preoperative bone defect size was 12 mm +/- 6 mm on the medial side and 8 mm +/- 2 mm on the lateral side. The knee scores improved from a preoperative mean of 53 +/- 12 to 89 +/- 8 at the last evaluation. There were 79% excellent and 21% good results. There were no complications or reoperations. Radiolucent lines beneath the metal wedge were present in 13 knees but none were progressive.
Mayo Clinic, Rochester, MN 55905.
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JA
Rand
D000368:Aged; D001178:Arthroplasty / Q000379:methods*; D001860:Bone Plates; D001862:Bone Resorption / Q000209:etiology / Q000601:surgery*; D005260:Female; D005269:Femur; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D013977:Tibia