THE WAYS OF BONE DEFECTS COMPENSATION IN REVISION KNEE ARTHROPLASTY

T. A. Kulyaba; N. N. Kornilov; A. V. Selin; V. I. Razorenov; I. I. Kroitoru; A. I. Petukhov; A. V. Kazemirsky; Ph. Yu. Zasulsky; V. I. Ignatenko; A. V. Saraev

doi:10.21823/2311-2905-2011-0-3-5-12

Traumatology and Orthopedics of Russia ›› 2011, Vol. 17 ›› Issue (3) : 5 -12. DOI: 10.21823/2311-2905-2011-0-3-5-12

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THE WAYS OF BONE DEFECTS COMPENSATION IN REVISION KNEE ARTHROPLASTY

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Abstract

During 83 revision TKA we found out the need of bone defect compensation in 93,3% of cases. The autologic bone was used in 12 (7,5%) patients, spongeous allograft in 45 (28,1%), femoral head allograft in 10 (6,3%), structural allograft in 22 (13,8%), femoral or tibial sleeves in 17 (10,6%) and femoral or tibial augmentation blocks in 50 (31,3%). Middle-term results of revision TKA (27 months in average) were evaluated in 57 (68,7%) patients using KSS and WOMAC scores. Positive results were achieved in 48 (84,2%) patients. In 9 (10,8%) cases deep infection developed in different periods of time after surgery. Hence during revision TKA the surgeon should be ready to use different methods of bone defect compensation.

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knee joint / revision arthroplasty / bone defects

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T. A. Kulyaba, N. N. Kornilov, A. V. Selin, V. I. Razorenov, I. I. Kroitoru, A. I. Petukhov, A. V. Kazemirsky, Ph. Yu. Zasulsky, V. I. Ignatenko, A. V. Saraev. THE WAYS OF BONE DEFECTS COMPENSATION IN REVISION KNEE ARTHROPLASTY. Traumatology and Orthopedics of Russia, 2011, 17(3): 5-12 DOI:10.21823/2311-2905-2011-0-3-5-12

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