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The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss
Bone loss around the knee in the setting of total knee arthroplasty remains a difficult and challenging problem for orthopaedic surgeons. There are a number of options for dealing with smaller and contained bone loss; however, massive segmental bone loss has fewer options. Small, contained defects c...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE-Hindawi Access to Research
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180775/ https://www.ncbi.nlm.nih.gov/pubmed/21991418 http://dx.doi.org/10.4061/2011/578952 |
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author | Kuchinad, Raul A. Garbedian, Shawn Rogers, Benedict A. Backstein, David Safir, Oleg Gross, Allan E. |
author_facet | Kuchinad, Raul A. Garbedian, Shawn Rogers, Benedict A. Backstein, David Safir, Oleg Gross, Allan E. |
author_sort | Kuchinad, Raul A. |
collection | PubMed |
description | Bone loss around the knee in the setting of total knee arthroplasty remains a difficult and challenging problem for orthopaedic surgeons. There are a number of options for dealing with smaller and contained bone loss; however, massive segmental bone loss has fewer options. Small, contained defects can be treated with cement, morselized autograft/allograft or metal augments. Segmental bone loss cannot be dealt with through simple addition of cement, morselized autograft/allograft, or metal augments. For younger or higher demand patients, the use of allograft is a good option as it provides a durable construct with high rates of union while restoring bone stock for future revisions. Older patients, or those who are low demand, may be better candidates for a tumour prosthesis, which provides immediate ability to weight bear and mobilize. |
format | Online Article Text |
id | pubmed-3180775 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | SAGE-Hindawi Access to Research |
record_format | MEDLINE/PubMed |
spelling | pubmed-31807752011-10-11 The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss Kuchinad, Raul A. Garbedian, Shawn Rogers, Benedict A. Backstein, David Safir, Oleg Gross, Allan E. Adv Orthop Review Article Bone loss around the knee in the setting of total knee arthroplasty remains a difficult and challenging problem for orthopaedic surgeons. There are a number of options for dealing with smaller and contained bone loss; however, massive segmental bone loss has fewer options. Small, contained defects can be treated with cement, morselized autograft/allograft or metal augments. Segmental bone loss cannot be dealt with through simple addition of cement, morselized autograft/allograft, or metal augments. For younger or higher demand patients, the use of allograft is a good option as it provides a durable construct with high rates of union while restoring bone stock for future revisions. Older patients, or those who are low demand, may be better candidates for a tumour prosthesis, which provides immediate ability to weight bear and mobilize. SAGE-Hindawi Access to Research 2011 2011-09-26 /pmc/articles/PMC3180775/ /pubmed/21991418 http://dx.doi.org/10.4061/2011/578952 Text en Copyright © 2011 Raul A. Kuchinad et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Kuchinad, Raul A. Garbedian, Shawn Rogers, Benedict A. Backstein, David Safir, Oleg Gross, Allan E. The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title | The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title_full | The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title_fullStr | The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title_full_unstemmed | The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title_short | The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss |
title_sort | use of structural allograft in primary and revision knee arthroplasty with bone loss |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3180775/ https://www.ncbi.nlm.nih.gov/pubmed/21991418 http://dx.doi.org/10.4061/2011/578952 |
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