Metaphyseal sleeves for revision total knee arthroplasty: good short-term outcomes

Kate E Bugler, Rohit Maheshwari, Isaaq Ahmed, Ivan J Brenkel, Phil Walmsley

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61 Citations (Scopus)

Abstract

Metaphyseal sleeve prostheses have shown promising results in the management of bone defects at revision TKA. We present a study of their use in aseptic revision TKA. Thirty-five revisions were included in 34 patients with wear or aseptic loosening indicated in 71% of cases. The majority of cases (63%) were AORI grade 2 or greater on the tibia or femur. Knee Society scores were excellent or good in 83% of patients with the same percentage having no or only mild pain. One patient suffered a sleeve-related complication with femoral condylar fractures three years postoperatively; these united with good outcomes. All radiographs were satisfactory; no patient required a further revision. We report good outcomes with the use of metaphyseal sleeves in revision TKA.

Original languageEnglish
Pages (from-to)1990-1994
Number of pages5
JournalThe Journal of Arthroplasty
Volume30
Issue number11
DOIs
Publication statusPublished - Nov 2015

Keywords

  • Arthroplasty
  • Aseptic
  • Knee
  • Replacement
  • Revision
  • Sleeves

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