title: Direct, Cementless, Metaphyseal Fixation in Knee Revision Arthroplasty With Sleeves-Short-Term Results.
abstract: Different options for implant fixation in revision TKA exist. Small series have been published on direct cementless fixation with sleeves. The objective of this study was to analyze the short- and mid-term results of sleeve-fixation in a large revision TKA series. In this prospective study 121 patients with 193 sleeves (119 tibial and 74 femoral) were included. Mean follow-up was 3.6 years (2-6.1 years). Analysis included clinical and radiographic assessment. ROM, KSS and Functional Score improved significantly. Fourteen patients (11.4%) underwent operative re-revision during the follow-up period. Direct cementless fixation in the metaphysis by sleeves is a promising option for implant fixation in revision TKA, both on the tibial and femoral side.
authors.affiliation: Department of Arthroplasty, Hospital for Orthopaedic Surgery Lindenlohe, Schwandorf, Germany.
authors.forename: Heiko
authors.initials: H
authors.lastname: Graichen
authors.affiliation: Department of Arthroplasty, Hospital for Orthopaedic Surgery Lindenlohe, Schwandorf, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Scior
authors.affiliation: Department of Arthroplasty, Hospital for Orthopaedic Surgery Lindenlohe, Schwandorf, Germany.
authors.forename: Marco
authors.initials: M
authors.lastname: Strauch
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D011446:Prospective Studies; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome
keywords: cementless; metaphyseal fixation; revision TKA; sleeves; zonal fixation