ArticleANZ journal of surgery2022
Tibial metaphyseal cones combined with short stems perform as well as long stems in revision total knee arthroplasty.
Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Review
- Anatomical 3D-printed metaphyseal cone in revision total knee arthroplasty: A short-term clinical and radiological follow-up evaluation.Journal of experimental orthopaedics · 2026Article
- 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
- Biomechanical study of using patient-specific diaphyseal femoral cone in revision total knee arthroplasty (rTKA).Journal of orthopaedics · 2024Article
- A Three-dimensional Comparison of Pre- and Post-component Position in a Series of Off-label Robotic-assisted Revision Total Knee Arthroplasties.Arthroplasty today · 2024Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundsThere is uncertainty around optimal tibial stem length in revision total knee arthroplasty (rTKA) utilizing a tibial trabecular metal (TM) cone. The purpose of this study was to compare: (1) functional outcomes, (2) radiographic outcomes and (3) implant survivorship in rTKA utilizing TM cones combined with either short stems (SS) or long stems (LS) at minimum 2 years follow-up.
methodsIn this retrospective, multi-centre study, patients undergoing rTKA utilizing a TM cone between 2008 and 2019 were included. Patients were divided into: SS group (no diaphyseal engagement), and LS group (diaphyseal engagement). All relevant clinical charts and post-operative radiographs were examined. Oxford Knee Score (OKS) and EuroQol-5D (EQ-5D-5L) data were collected at most recent follow-up.
resultsIn total, 44 patients were included: 18 in the SS group and 26 in the LS group. The mean time of follow-up was 4.0 years. Failure free survival was 94.4% for the SS group and 92.3% for the LS group. All failures were for prosthetic joint infections managed with debridement, antibiotics, and implant retention. At most recent follow-up, 3 patients demonstrated radiographic signs of lucency (1 SS 2 LS, P = 1) and the mean OKS were 37 ± 4 and 36 ± 6 (P = 0.73) in the SS and LS groups, respectively.
conclusionTibial SS combined with TM cones performed as well as LS in rTKA at minimum 2 years follow-up. A tibial SS in combination with a TM cone is a reliable technique to achieve stable and durable fixation in rTKA.
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