title: Zonal fixation in revision total knee arthroplasty.
abstract: Revision knee arthroplasty presents a number of challenges, not least of which is obtaining solid primary fixation of implants into host bone. Three anatomical zones exist within both femur and tibia which can be used to support revision implants. These consist of the joint surface or epiphysis, the metaphysis and the diaphysis. The methods by which fixation in each zone can be obtained are discussed. The authors suggest that solid fixation should be obtained in at least two of the three zones and emphasise the importance of pre-operative planning and implant selection.
authors: Cardiff & Vale NHS Trust, University Hospital Llandough, Penlan Road, Llandough, Penarth, Vale of Glamorgan, CF64 2XX, UK.
authors: R
authors: R
authors: Morgan-Jones
authors: University College London Hospitals, London, 235 Euston Road, London NW1 2BU, UK.
authors: S I S
authors: SI
authors: Oussedik
authors: Hospital for Orthopaedic Surgery Lindenlohe, Lindenlohe 18, 92421 Schwandorf, Germany.
authors: H
authors: H
authors: Graichen
authors: University College London Hospitals, 235 Euston Road, London, NW1 2BU, UK.
authors: F S
authors: FS
authors: Haddad
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D018483:Diaphyses; D004838:Epiphyses; D005269:Femur / Q000601:surgery; D006801:Humans; D012086:Reoperation; D013977:Tibia / Q000601:surgery
keywords: Multi-zone strategy; Revision total knee replacement; Zonal fixation