title: Revision total knee arthroplasty: clinical outcome comparison with and without the use of femoral head structural allograft.
abstract: The use of femoral head structural allograft (FHSA) for the management of massive bony defects during revision total knee arthroplasty (TKA) is well documented in the literature. The purpose of this study was to compare the clinical outcomes of patients undergoing revision (TKA) with FHSA to those without. All patients undergoing revision TKA between January 2000 and August 2005 were reviewed. Two cohorts were generated: a study cohort--revision TKA using FHSA (n = 24)--and control cohort--revision TKA without FHSA (n = 48). The 2 study cohorts groups were comparable. All patients completed validated outcome questionnaires. The FHSA cohort was found to have significantly better outcome scores. This study demonstrates improved clinical outcomes for patients undergoing revision TKA using a structural allograft compared with those without.
authors.affiliation: Department of Orthopaedics, Hull Hospital, 116 boul Lionel emond Gatineau, Quebec, Canada.
authors.forename: Corey J
authors.initials: CJ
authors.lastname: Richards
authors.forename: Donald S
authors.initials: DS
authors.lastname: Garbuz
authors.forename: Luke
authors.initials: L
authors.lastname: Pugh
authors.forename: Bassam A
authors.initials: BA
authors.lastname: Masri
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D016025:Bone Transplantation / Q000379:methods*; D016022:Case-Control Studies; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D005260:Female; D005270:Femur Head / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis; D008297:Male; D010014:Osteolysis / Q000601:surgery*; D011475:Prosthesis Failure; D011788:Quality of Life; D011859:Radiography; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome