JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2015, Vol. 53 ›› Issue (6): 90-93.doi: 10.6040/j.issn.1671-7554.0.2014.786

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Use of metal block in total knee arthroplasty with tibial bone defect

HUANG Chuanwang, Salim Jeddo, ZHANG Yuankai, LI Deqiang, LIU Peilai, LI Ming   

  1. Department of Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2014-11-04 Revised:2015-02-28 Published:2015-06-10

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Abstract: Objective To investigate the application of metal block in total knee arthroplasty with bone defect of tibia. Methods Data of 7 cases undergoing primary total knee arthroplasty with tibial plateau bone defect during Jan. 2012 and Dec. 2013 were retrospectively reviewed. The patients included 2 males and 5 females, aged 49-84 years, average 57 years. Postoperative complications in lower limbs were observed. After the follow-up of 1 year, the axial alignment of the lower extremity correction, presence of prosthesis loosening, displacement, collapse and so on were examined with X-ray and compared with preoperative and postoperative knee joint HSS scores. Results During the follow-up of 1 year, no complications such as infection or deep thrombosis in the lower limbs occurred. Knee pain disappeared, and axial alignment of the lower extremity was well corrected. The final X-ray examination showed no prosthesis loosening, displacement, collapse and so on. Preoperative HSS scored 17 to 29, average 23. Postoperative HSS scored 68 to 95, average 81. Conclusion Use of metal block to deal with tibial plateau bone defect for primary total knee arthroplasty can achieve excellent results without increasing complications.

Key words: Rectangular, Metal block, Bone defect, Total knee arthroplasty, Tibial

CLC Number: 

  • R687
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