Bone loss in total knee arthroplasty: Graft augment and options

The alternatives available for management of bone defects in total knee arthroplasty include prosthetic augments, autograft, allograft, and the use of bone cement. The selection of the augment technique should be based on the defect size, the patient age and life expectancy, and an assessment of the...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 19; no. 4; pp. 56 - 58
Main Author Cuckler, John M.
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.06.2004
Subjects
Arthroplasty, Replacement, Knee - adverse effects
Arthroplasty, Replacement, Knee - methods
Bone Cements
Bone Resorption - etiology
Bone Resorption - surgery
Bone Transplantation - methods
Humans
knee arthroplasty
knee prosthesis
Reoperation
results
technique
knee arthroplasty
technique
knee prosthesis
results
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Summary:The alternatives available for management of bone defects in total knee arthroplasty include prosthetic augments, autograft, allograft, and the use of bone cement. The selection of the augment technique should be based on the defect size, the patient age and life expectancy, and an assessment of the documented clinical results of each method. Prosthetic augments will address the vast majority of defects. The use of allograft is primarily indicated in the setting of major bone loss in revision knee arthroplasty, whereas the use of autograft is appropriate in the management of small defects in primary arthroplasty. Bone cement can be used for small defects if the stability of the implant is not compromised by the defect.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2004.03.002