Filling of segmental bone defects in revision knee arthroplasty using morsellized bone grafts contained within a metal mesh.
For revision knee surgery with uncontained tibial bone defects, the authors report the containment of compacted morsellized allograft using metal-wire mesh, followed by implantation of a cemented total knee prosthesis. This method is comparable to the "impaction grafting technique" described for revision hip surgery and could be an alternative to metal wedges, augmented components, custom-made implants, polymethyl-methacrylate or structural bone grafts to solve some problems of cavitary and segmental bone defects in revision total knee arthroplasty.
Suárez-Suárez
M A
MA
Orthopedic and Trauma Department, Cabueñes Hospital & Oviedo University, Gijón, Spain.
Murcia
A
A
Maestro
A
A
D000328:Adult; D001172:Arthritis, Rheumatoid / Q000601:surgery*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects / Q000379:methods*; D001843:Bone Cements; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D011474:Prosthesis Design; D013526:Surgical Mesh
D001843:Bone Cements