SynthesisMusculoskeletal surgery2020
Metaphyseal cones and sleeves in revision total knee arthroplasty: Two sides of the same coin? Complications, clinical and radiological results-a systematic review of the literature.
Synthesis in Musculoskeletal surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 66 citations in OpenAlex.
- Metaphyseal cones and sleeves are similar in improving short- and mid-term outcomes in Total Knee Arthroplasty revisions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Periprosthetic joint infection in unicompartmental knee arthroplasty: treatment options and outcomes. What is the current evidence in literature?Archives of orthopaedic and trauma surgery · 2023Pooled it
- Cones and sleeves present good survival and clinical outcome in revision total knee arthroplasty: a meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- The autoclaving and re-implantation of an infected prosthesis as a spacer during resection knee arthroplasty: a systematic review.Musculoskeletal surgery · 2022Pooled it
- Short-Term Survivorship of 3D-Printed Titanium Metaphyseal Cones in Revision Total Knee Arthroplasty: A Systematic Review.Orthopedic reviews · 2022Pooled it
- Aseptic Failure of Tibial Components With Sleeves in Revision Total Knee Arthroplasty: A Novel Radiographic Assessment of Zonal Fixation.Arthroplasty today · 2026Article
- Additively Manufactured Partially Porous PAEK Topologies for Proximal Tibia Revision Cones and Sleeves.Annals of biomedical engineering · 2026Article
- Applications of 3D printing in orthopedics: a scoping review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Review
- Short- and Mid-term Radiographic Outcomes of Ream-then-broaching Metaphyseal Cones During Revision Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Utilizing 3d-printed patient-specific porous titanium cones in complex primary and revision total knee arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Promising short-term outcomes of free-hand burring technique to implant second-generation metaphyseal cone in Asian knees - a case series.Arthroplasty (London, England) · 2024Article
- Management of Bone Loss in Revision Total Knee Arthroplasty: An International Consensus Symposium.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2024Review
- Radiographic Cone Zone Classification of Metaphyseal Cone Fixation in Revision Total Knee Arthroplasty.Arthroplasty today · 2024Article
- Metallosis and Corrosion Associated With Revision Total Knee Arthroplasties With Metaphyseal Sleeves.Arthroplasty today · 2023Article
- Custom-Made Metaphyseal Sleeves in "Beyond" AORI III Defects for Revision Knee Arthroplasty-Proof of Concept and Short-Term Results of a New Technique.Journal of personalized medicine · 2023Article
- Cementless Porous-Coated Metaphyseal Sleeves Used for Bone Defects in Revision Total Knee Arthroplasty: Short- to Mid-Term Outcomes.Orthopaedic surgery · 2023Article
- Recent Trends and Hotspots in Knee Arthroplasty: A Bibliometric Analysis and Visualization Study of the Last Five-Year Publications.The archives of bone and joint surgery · 2023Review
- Tibial metaphyseal cones combined with short stems perform as well as long stems in revision total knee arthroplasty.ANZ journal of surgery · 2022Article
- Two-stage revision for periprosthetic joint infection in unicompartmental knee arthroplasty: clinical and radiological results.Archives of orthopaedic and trauma surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Revision total knee arthroplasty (rTKA) is increasing of relevance in orthopaedic surgeon daily practice and this trend is likely to continue in the years ahead. The aim of this systematic review of English literature is to summarize and compare indications, complications, clinical and radiological results of metaphyseal cones and sleeves in management of bone loss in rTKA. Retrospective or prospective studies with at least 1 year of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review. Clinical and radiological results, rates of intraoperative fractures, aseptic loosening, periprosthetic joint infection, septic failure, reoperations and re-revisions were extrapolated by the papers. Thirty-seven articles were included in the systematic review. Results of 927 cones (mean FU of 3.6 ± 1.4 years) and 1801 sleeves (mean FU of 4.5 ± 1.6 years) were analysed. The studies showed good clinical and functional outcomes. Cones and sleeves allowed a stable metaphyseal fixation. The aseptic survivorship of the implants was 97.3% in cones group and 97.8% in sleeves group. Metaphyseal cones and sleeves represent a viable option in management of type IIb and III AORI bone defects in aseptic and septic TKAr with overlapping survival rate. Further high-quality long-term studies would better clarify complications, clinical and radiological results of these promising techniques in revision total knee arthroplasty.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.