title: Total knee arthroplasty with fully porous-coated stems for the treatment of large bone defects.
abstract: Between February1999 and April 2006, 25 patients (28 knees) underwent a TKA by a single surgeon. At an average final follow-up of 7±2years (range, 3-10years), 34 (100%) of 34 fully porous stems had achieved bone ingrowth. However, one case (3%) had a component loosening due to the de-bonding of sheets of beads from the stem. The remaining cases remained well fixed. Three well-fixed stems in 2 patients failed from deep infection. There was one reoperation required for a femoral periprosthetic fracture. Our 10-year experience shows that fully porous-coated stems reliably achieve durable fixation in complex primary and revision TKA allowing the surgeon to bypass large bone defects and gain fixation in diaphyseal bone.
authors.affiliation: Midlands Orthopaedics, P. A., Columbia, SC 29201, USA.
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Gross
authors.forename: Fei
authors.initials: F
authors.lastname: Liu
mesh_terms: D000328:Adult; D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013977:Tibia / Q000601:surgery*