Medial tibial "spackling" to lessen chronic medial tibial soft tissue irritation.
We describe a unique, utilitarian reconstructive treatment option known as tibial "spackling" for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ligament from the prominent medial edge of the tibial component. In the setting of failed nonoperative treatment, our experience with utilizing bone cement to reconstruct the medial tibial bone defect and create a smooth medial tibial surface has been successful in eliminating chronic medial soft tissue irritation.
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
J Ryan
JR
Martin
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
Tyler Steven
TS
Watters
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
Daniel L
DL
Levy
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
Jason M
JM
Jennings
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
James P
JP
Boyle
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
Douglas A
DA
Dennis
Bone cement; Medial tibial bone loss; Spackling; Total knee arthroplasty