ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Excellent mid-term osseointegration and implant survival using metaphyseal sleeves in revision total knee arthroplasty.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 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
- Pooled it
- Metaphyseal cones in septic revision total knee arthroplasty: A retrospective cohort study with minimum 2-year follow-up.Journal of experimental orthopaedics · 2026Article
- Femoral finite element analysis of a novel cementless revision total knee arthroplasty system.Scientific reports · 2026Article
- Comparison of Novel 3D-printed Stepped Porous Metal Cones and Metaphyseal Sleeves for Reconstruction of Severe Knee Bone Defects: Short-term Clinical Outcomes.Orthopaedic surgery · 2024Article
- Excellent mid- to long-term survival of tantalum metal cones in a case series of revision knee arthroplasty with severe bony defects.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Metaphyseal Metal Sleeves for Reconstruction of Severe Knee Bone Defects: Excellent Survival Rate at a Mean Follow-Up of 6.4 Years.Orthopaedic surgery · 2023Article
- Cementless Porous-Coated Metaphyseal Sleeves Used for Bone Defects in Revision Total Knee Arthroplasty: Short- to Mid-Term Outcomes.Orthopaedic surgery · 2023Article
- Surgical Management of Tibial Bone Loss in Revision Total Knee Arthroplasty: Clinical Outcomes and Radiographic Analysis of Tantalum Cones, Titanium Cones and Titanium Sleeves.The Iowa orthopaedic journal · 2022Article
- Reconstruction for Massive Proximal Tibial Bone Defects Using Patient-Customized Three-Dimensional-Printed Metaphyseal Cones in Revision Total Knee Arthroplasty.Orthopaedic surgery · 2022Article
- Prostheses option in revision total knee arthroplasty, from the bench to the bedside: (1) basic science and principles.EFORT open reviews · 2022Review
- Tibial tray cementation is not necessary for knee revision with titanium metaphyseal sleeves: a mid-term prospective study in AORI 2B defects.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Reconstruction of Proximal Metaphyseal Femoral Defects Using Trabecular Metal Augments in Revision Total Hip Arthroplasty.Arthroplasty today · 2021Article
- Cementless Metaphyseal Sleeve Fixation in Revision Knee Arthroplasty: Our Experience with an Arabic Population at the Midterm.Advances in orthopedics · 2020Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMetaphyseal fixation in revision total knee arthroplasty (RTKA) is a very promising treatment option for extended bone defects. Currently published mid-term results remain limited. The purpose was to analyse the implant durability, the clinical and the radiological mid-term results in RTKA when using metaphyseal sleeves.
methodsClinical and radiological follow-up examinations were performed in 92 patients (93 knees) with RTKA using hybrid fixation technique (cementless sleeves and stem). Radiographic measurements regarding osseointegration at the bone-sleeve interface were performed and the range of motion (ROM), a subjective satisfaction score (SSS), the American Knee Society Score (KSS), the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) as well as the SF-36 Health survey were examined. Bone defects were analysed using the Anderson Orthopaedic Research Institute (AORI) classification.
resultsNo knee had to be revised due to aseptic loosening at the time of the follow-up (mean 6.3 years ± 2.3, minimum 2 years). Satisfactory radiographic osseointegration at the sleeve/bone interface was detected in 96.1% of cases. 17 knees (18.2%) had to be re-revised, 15 of them due to a recurrent infection and 2 due to aseptic reasons (mediolateral instability and a periprosthetic fracture). The median of the ROM (96°), SSS (8), KSS (87), WOMAC (9), SF-36 MCS (55) and SF-36 PCS (38) showed very satisfying results.
conclusionNo case of aseptic loosening was found in this large series of RTKA with extended bone defects using metaphyseal sleeve fixation. In this large retrospective series, it has been shown that this technique is an excellent treatment option for extended bone defects in RTKA surgery. LEVEL OF EVIDENCE: Retrospective cohort study, level III.
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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.