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

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 f...

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Published inRevista 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
LanguageEnglish
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
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Abstract 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.
AbstractList BACKGROUND AND OBJECTIVESThe purpose of this study is to analyse the indications, complications, survivorship and clinical/functional outcome of metaphyseal sleeves as a treatment option in revision total knee arthroplasty.MATERIAL AND METHODA 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.RESULTSThe 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%.CONCLUSIONSMetaphyseal 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.
Background and objectives: The purpose of this study is to analyse the indications, complications, survivorship and clinical/functional outcome of metaphyseal sleeves as a treatment option in revision total knee arthroplasty. Material and method: 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. Results: 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%. Conclusions: 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. Resumen: Antecedentes y objetivos: El objetivo de este estudio es analizar las indicaciones, complicaciones, supervivencia y el resultado clínico y funcional de las vainas metafisarias como opción terapéutica en las revisiones de prótesis total de rodilla. Material y método: Se realizó una revisión sistemática siguiendo las recomendaciones PRISMA sobre el uso de vainas metafisarias para cirugía de revisión de artroplastia de rodilla. Se incluyeron estudios prospectivos y retrospectivos publicados en los últimos 10 años que analizasen la supervivencia del implante, el resultado clínico y funcional con un seguimiento mínimo de dos años. Resultados: Los estudios incluidos mostraron buenos resultados tanto funcionales como clínicos. El porcentaje de reintervención global fue de 16,2%, con una tasa de supervivencia global de 92,2% y una supervivencia aséptica de 98,2%. Conclusiones: Las vainas metafisarias suponen una buena opción de tratamiento de esta cirugía, especialmente en defectos tipo AORI II o III consiguiendo buena estabilidad intraoperatoria y primaria del implante, con buena y rápida osteointegración.
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.
Author Capellá González, P
Gómez Díaz, P
López López, J A
Castro Menéndez, M
Domínguez Prado, D M
Souto Míguez, P
Penín Gómez, C
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Issue 3
Keywords Revision total knee arthroplasty
Prótesis revisión rodilla
Complications
Resultados
Results
Vainas metafisarias
Complicaciones
Metaphyseal sleeves
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Snippet The purpose of this study is to analyze the indications, complications, survivorship and clinical/functional outcome of metaphyseal sleeves as a treatment...
BACKGROUND AND OBJECTIVESThe purpose of this study is to analyse the indications, complications, survivorship and clinical/functional outcome of metaphyseal...
Background and objectives: The purpose of this study is to analyse the indications, complications, survivorship and clinical/functional outcome of metaphyseal...
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Resultados
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Title A systematic review of the literature: The use of metaphyseal sleeves in revision total knee arthroplasty
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