A systematic review of the literature: The use of metaphyseal sleeves in revision total knee arthroplasty

• Published in: Revista española de cirugía ortopédica y traumatología Vol. 68; no. 3; pp. 280 - T295
• Main Authors: López López, J A, Castro Menéndez, M, Domínguez Prado, D M, Souto Míguez, P, Capellá González, P, Penín Gómez, C, Gómez Díaz, P
• Format: Journal Article
• Language: English
• Published: Spain Elsevier 01.05.2024
• Subjects: Complicaciones; Prótesis revisión rodilla; Resultados; Vainas metafisarias; Revision total knee arthroplasty; Prótesis revisión rodilla; Complications; Resultados; Results; Vainas metafisarias; Complicaciones; Metaphyseal sleeves
• ISSN: 1888-4415; 1988-8856
• DOI: 10.1016/j.recot.2024.01.006

The purpose of this study is to analyze the indications, complications, survivorship and clinical/functional outcome of metaphyseal sleeves as a treatment option in revision total knee arthroplasty. A systematic review was made following the PRISMA recommendations on the use of metaphyseal sleeves for revision total knee arthroplasty. We included prospective and retrospective studies published in the last 10 years looking at implant survivorship, clinical and functional outcome with a minimum follow-up of 2 years. The included studies showed good both functional and clinical outcomes. The overall reoperation rate was 16.2%, with an overall survival rate of 92.2% and aseptic survivorship of 98.2%. Metaphyseal sleeves are a good treatment option for this surgery, especially in AORI II or III type bone defects, achieving good intraoperative and primary stability of the implant, with good and rapid osseointegration.