JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (6): 35-38.doi: 10.6040/j.issn.1671-7554.0.2015.809

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Reconstruction of proximal tibial bone defect during primary total knee arthroplasty and its clinical efficacy

ZHOU Chuibao1, MA Liang2, LI Ming2, ZHANG Yuankai2   

  1. 1. Department of Joint and Traumatic Orthopedics, Central Hospital of Jiaozhou, Qingdao 266300, Shandong, China;
    2. Department of Joint Orthopedics, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-08-25 Online:2016-06-20 Published:2016-06-20

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Abstract: Objective To investigate the efficacy of proximal tibial bone defect reconstruction during primary total knee arthroplasty(TKA). Methods A total of 14 cases(14 knees)with proximal tibial bone defect who underwent primary TKA during Jan. 2009 and Jan. 2014 were enrolled, including 3 males and 11 females. The average age of patients was 59.3 years, ranging from 51 to 80 years. The diagnoses were severe osteoarthritis(6 cases of varus deformity and 1 case of valgus deformity), rheumatoid arthritis(5 cases), and post-traumatic osteoarthritis(2 cases). Bone cement was used in 5 cases, and prosthetic augments was adopted in 9 cases. Results All patients were followed up for an average of 26 months, ranging from 12 to 48 months. The postoperative mechanical alignment and competent position were satisfactory. The knee function scores rose from 46.23 before operation to 82.5 on average. No severe complications occurred. Conclusion The reconstruction technique including bone cement and modular augment is effective in the treatment of proximal tibia bone defect.

Key words: Knee arthroplasty, Reconstruction, Modular augment, Tibia, Bone defect

CLC Number: 

  • R687.4
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