ArticleInternational journal of surgery case reports2023
Primary total knee arthroplasty in patients with a significant bone defect in the medial tibial plateau: Case series and literature review.
Article in International journal of surgery case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Biomechanical study on the treatment of tibial defects in total knee arthroplasty using the cement-screw and metal block with extension stem techniques: a finite element analysis.Frontiers in bioengineering and biotechnology · 2026Article
- The bone cement with screw augmentation surgical technique in a 3D-printed customized total knee arthroplasty for a patient with severe bone defect.Journal of surgical case reports · 2025Article
- Finite element analysis of three reconstruction strategies for AORI IIA tibial bone defects in TKA.Journal of orthopaedics · 2025Article
- Biomechanical evaluation of screw and cement placement strategies for treating medial uncontained tibial defects in total knee arthroplasty: A finite element analysis.Medicine internationalArticle
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Authors and funding
2 authors at 1 institution in 1 country.
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Abstract
introduction and importanceTotal knee arthroplasty (TKA) can significantly enhance a patient's quality of life and knee function. As a result, it has become a popular procedure among orthopedic surgeons. However, there are some challenging cases that surgeons may encounter, such as treating bony defects in the tibial plateau in patients with advanced degeneration. If not managed properly, these cases can have serious consequences. CASE PRESENTATION: 4 patients with severe knee joint degeneration and bone loss in the medial tibial plateau were included in the series. The patients underwent TKA using the cement and screws technique to compensate for the defect in the medial tibial plateau. After (12-24 months) follow-up, all patients showed a clear clinical and functional improvement. CLINICAL DISCUSSION: Several ways exist to address bone loss in the tibial plateau in primary total knee joint arthroplasty. Among them, metal prostheses are frequently used. In certain situations, we may need to use more affordable techniques to ensure success for patients facing financial difficulties. This is particularly common in our country, and we may utilize methods such as the cement and screws technique. This study showed a clear improvement in the patient's clinical and functional outcomes according to The Western Ontario and McMaster Universities Arthritis Index (WOMAC) at the end of the follow-up period.
conclusionThe cement and screw technique might be a good solution for moderate bone loss in the tibial plateau. It might be a safe and simple method for patients, and it's also a viable option for those who can't afford pricier alternatives like metal augmentation or structural allografts.
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