期刊
ORTHOPAEDIC SURGERY
卷 11, 期 1, 页码 15-24出版社
WILEY
DOI: 10.1111/os.12425
关键词
Bone defects; Knee joint pain; Management; Revision of total knee arthroplasty
类别
资金
- Natural Science Foundation of Hunan Province, China [2018JJ3844]
- Scientific Research Project of Health and Family Planning Commission of Hunan Province, China [B2019188]
- Youth Science Foundation of Xiangya Hospital Central South University [2017Q07]
- Postdoctoral Research Program of Xiangya Hospital Central South University [223551]
This article reviews the recent updates in revision of total knee arthroplasty (RTKA). We reviewed the recent articles on RTKA in databases including PubMed, Google Scholar, and SCOPUS. Total knee arthroplasty (TKA) involves the replacement of all three compartments of the knee in surgery of the knee joint to restore capacity and function. TKA is one of the most common and reliable surgical treatment options for the treatment of knee diseases. However, some patients require revision of TKA (RTKA) after primary TKA for various reasons, including mechanical wear, implant loosening or breakage, malalignment, infection, instability, periprosthetic fracture, and persistent stiffness. Unfortunately, the overall outcome of RTKA is not as satisfactory as for primary TKA due to the uncertainty regarding the actual success rate and the risk factors for failure. Cementation, modular metal augmentation, bone grafting, autologous bone grafting, allogenic bone grafting, impactation bone grafting, structural bone allografting, metaphyseal fixation, using porous titanium coated press fit metaphyseal sleeves and porous tantalum structural cones, and megaprostheses or customized prostheses are the currently available management options for RTKA. However, most of the management systems possess specific complications. Novel approaches should be developed to improve functional capacity, implant survival rates, and quality of life in a cost-efficient manner.
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