title: Metal metaphyseal sleeves in revision total knee replacement.
abstract: Bone loss in the proximal tibia and distal femur is frequently encountered in revision knee replacement surgery. The various options for dealing with this depend on the extent of any bone loss. We present our results with the use of cementless metaphyseal metal sleeves in 103 patients (104 knees) with a mean follow-up of 43 months (30 to 65). At final follow-up, sleeves in 102 knees had good osseointegration. Two tibial sleeves were revised for loosening, possibly due to infection. The average pre-operative Oxford Knee Score was 23 (11 to 36) and this improved to 32 (15 to 46) post-operatively. These early results encourage us to continue with the technique and monitor the outcomes in the long term.
authors.affiliation: University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.
authors.forename: S
authors.initials: S
authors.lastname: Agarwal
authors.forename: A
authors.initials: A
authors.lastname: Azam
authors.forename: R
authors.initials: R
authors.lastname: Morgan-Jones
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D010014:Osteolysis / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D012720:Severity of Illness Index; D013977:Tibia / Q000601:surgery; D014025:Titanium; D016896:Treatment Outcome
chemical_list: D014025:Titanium
keywords: Knee replacement; Metaphyseal Sleeve; Revision; Stems; TKR