title: Metaphyseal Sleeves for Revision Total Knee Arthroplasty: Good Short-Term Outcomes.
abstract: Metaphyseal sleeve prostheses have shown promising results in the management of bone defects at revision TKA. We present a study of their use in aseptic revision TKA. Thirty-five revisions were included in 34 patients with wear or aseptic loosening indicated in 71% of cases. The majority of cases (63%) were AORI grade 2 or greater on the tibia or femur. Knee Society scores were excellent or good in 83% of patients with the same percentage having no or only mild pain. One patient suffered a sleeve-related complication with femoral condylar fractures three years postoperatively; these united with good outcomes. All radiographs were satisfactory; no patient required a further revision. We report good outcomes with the use of metaphyseal sleeves in revision TKA.
authors.affiliation: Victoria Hospital Kirkcaldy, Kirkaldy, Fife, Scotland KY2 5AH.
authors.forename: Kate E
authors.initials: KE
authors.lastname: Bugler
authors.affiliation: Victoria Hospital Kirkcaldy, Kirkaldy, Fife, Scotland KY2 5AH.
authors.forename: Rohit
authors.initials: R
authors.lastname: Maheshwari
authors.affiliation: Victoria Hospital Kirkcaldy, Kirkaldy, Fife, Scotland KY2 5AH.
authors.forename: Isaaq
authors.initials: I
authors.lastname: Ahmed
authors.affiliation: Victoria Hospital Kirkcaldy, Kirkaldy, Fife, Scotland KY2 5AH.
authors.forename: Ivan J
authors.initials: IJ
authors.lastname: Brenkel
authors.affiliation: Victoria Hospital Kirkcaldy, Kirkaldy, Fife, Scotland KY2 5AH.
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Walmsley
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation*; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery; D005269:Femur / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011184:Postoperative Period; D011474:Prosthesis Design; D012086:Reoperation / Q000295:instrumentation; D012189:Retrospective Studies; D012606:Scotland / Q000453:epidemiology; D013977:Tibia / Q000601:surgery; D016896:Treatment Outcome
keywords: arthroplasty; aseptic; knee; replacement; revision; sleeves