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

Previous Articles     Next Articles

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

PDF (PC)

484

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
[1] Mahomed NN, Barrett J, Katz JN, et al. Epidemiology of total knee replacement in the United States Medicare population [J]. J Bone Joint Surg Am, 2005, 87(8):1222.
[2] Waddell DD, Sedacki K, Yang Y, et al. Early radiographic and functional outcomes of a cancellous titanium-coated tibial component for total knee arthroplasty [J]. Musculoskelet Surg, 2015, Sep, 26.
[3] 蔡谞, 王岩, 王继芳, 等. 自体打压植骨修复膝关节置换中胫骨平台缺损[J]. 中华医学杂志, 2008, 88(41):2907-2911.
[4] Brown NM, Bell JA, Jung EK, et al. The use of trabecular metal cones in complex primary and revision total knee arthroplasty [J]. J Arthroplasty, 2015, 30(Suppl 9):90-93.
[5] Kim HC, Kim JW, Seol YD. Metal block augmentation for arthroplasty [J]. J bone Joint Surg, 2010, 92(Suppl 1):136.
[6] Beak SW, Choi CH. Management of severe tibial bony defects with double metal blocks in knee arthroplasty—a technical note involving 9 cases [J]. Acta Orthop, 2011, 82(1):116-118.
[7] Huff TW, Sculco TP. Management of bone loss in revision total knee arthroplasty [J]. J Arthroplasty, 2007, 22(7):32-36.
[8] Engh GA, Ammeen D J. Classification and preoperative radiograph evaluation:knee [J]. Orthop Clin North Am, 1998, 29(2):205-217.
[9] Engh GA, Ammeen DJ. Bone loss with revision total knee arthroplasty:defect classification and alternatives for reconstruction [J]. Instr Course Lect, 1999, 48:167-175.
[10] Panegrossi G, Ceretti M, Papalia M, et al. Bone loss management in total knee revision surgery [J]. Int Orthop, 2014, 38(2):419-427.
[11] 吕厚山, 王东. 全膝关节置换术中胫骨近端倾斜性骨缺损的重建[J]. 中华骨科杂志, 2003, 8:466-470.
[12] 吕厚山. 膝关节外科学[M]. 北京:人民卫生出版社, 2006:1860-1863.
[13] Brand MG, Daley RJ. Tibial tray augmentation with modular metal wedges for tibial bone stock deficiency[J]. Clin Orthop Relat Res, 1989, 248:71-79.
[1] GAO Pei, MAO Changlin, CHEN Feng, HE Wei, GUAN Yong,LYU Jiaju, LI Shanjun, DING Sentai. Application of CT three-dimensional reconstruction modified R.E.N.A.L. score in 50 cases of laparoscopic partial nephrectomy [J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 52-57.
[2] LI Songlin, LIU Peilai, LU Qunshan, MA Heran. Application of high tibial osteotomy combined with autologous adipose-derived mesenchymal stem cells injection in the repair of knee cartilage [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 82-88.
[3] WANG Ningning, QU Linli, CAO Fangli, LIANG Lei. Application of computed tomography sagittal reconstruction for microwave ablation of hepatic carcinoma under the diaphragm [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(8): 71-75.
[4] JIANG Shiwei, YAN Lei, TANG Yueqing, REN Juchao, ZANG Yuanwei, ZHANG Yongzhen, GU Gangli, XU Zhonghua. Urethral reconstruction with autologous tubular granulation tissues: functional and histological evaluation in male rabbits [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(11): 15-21.
[5] WU Shixiu, LI Jie, JIA Huigang, LI Jine, CUI Linling, LU Hong. Diagnostic value of color Doppler ultrasound for patients with anterior tibial artery steal due to atherosclerotic occlusive disease in lower extremity [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(6): 78-81.
[6] LIU Wen, WANG Ximing, DUAN Yanhua, YANG Shifeng, JI Xiaopeng, KANG Rui. The value of multiphase dynamic reconstruction with CTA to the intimal flap motion of abdominal aortic dissection [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(3): 50-54.
[7] LIANG Huiyu, YANG Biaobing, TAN Shenxing, NIU Changying, LI Yaling, HU Fei, TANG Shengjian. Efficacy of rhombic subauricular flap to restore ear lobe [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(3): 87-90.
[8] BAO Xuezhi, ZHAO Peng, LIU Peilai, LU Qunshan, LI Ming, ZHANG Yuankai, LI Deqiang. Short-term curative effect of open wedge high tibial osteotomy in the treatment of medial compartment knee osteoarthritis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 85-89.
[9] ZHAO Heng, YIN Qingfeng, LIU Wenguang, LIU Shenghou, XIAO Shipeng, WANG Shaojin. Application of a novel barbed suture in wound closure of hip and knee replacement [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 53-56.
[10] CHEN Xueling, WU Zizhong, LIU Dongxu, XIE Yongtao, GUO Tiantian, ZHANG Shijie. CBCT evaluation of the upper airway morphological changes in skeletal Class Ⅲ malocclusion patients using protraction and rapid maxillary expansion appliance [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(8): 71-78.
[11] HUANG Chuanwang, Salim Jeddo, ZHANG Yuankai, LI Deqiang, LIU Peilai, LI Ming. Use of metal block in total knee arthroplasty with tibial bone defect [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(6): 90-93.
[12] LIN Jinxiu, SUN Dongsheng, ZHENG Xiao, YIN Dechao, LI Ye, ZHANG Lei. Enhancement of tendon-bone healing by topical use of simvastatin after ACL reconstruction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(3): 27-31.
[13] ZHAN Rucai, WANG Donghai, WANG Xinyu, LI Xingang. Overview of the history of endoscopic endonasal surgery and multilayer skull base reconstruction [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2014, 52(11): 1-5.
[14] REN Chong-min, ZHANG Yuan-kai, LI De-qiang, LIU Pei-lai, LI Ming. Structural autograft for acetabular reconstruction in total hip arthroplasty of developmental hip dysplasia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(8): 85-88.
[15] PANG Yong-zhi1， HU Wen-ting2, PENG Feng-mei3. Experimental study of bletilla glucomannan/nacre powder composites repairing the alveolar bone defects in rabbits [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(1): 37-.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd