Metaphyseal sleeves in total knee arthroplasty revision: complications, clinical and radiological results. A systematic review of the literature

Archives of Orthopaedic and Trauma Surgery
Andrea ZaniratoMatteo Formica

Abstract

Total knee arthroplasty revision (TKAr) is increasing of relevance in orthopaedic surgeon daily practice and will become more and more relevant in the future. The aim of this study is to summarize indications, complications, clinical and radiological mid-term results of metaphyseal sleeves in management of bone defects in TKAr. A systematic review of English literature was performed on Medline. Retrospective or prospective studies with 2 years of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review. Rates of intraoperative fractures, aseptic loosening, periprosthetic joint infection (PJI), reoperations and re-revisions were extrapolated by the papers. 13 articles with a level of evidence of IV were included in the systematic review. 1079 TKAr (1554 sleeves) with a mean FU of 4.0 ± 1.1 years were analysed. The studies showed good clinical and functional outcomes. Sleeves allowed a stable metaphyseal fixation and osseointegration with an implant and sleeves aseptic survival rate of 97.7 and 99.2%, respectively. The incidence of PJI was 2.7 ± 2.4%. The estimated rate of reoperations and re-revisions were 14.2 ± 9.2 and 7.1 ± 4.8%, respectively. Metaphyseal sleeves represent a via...Continue Reading

References

Feb 15, 2001·The Journal of Arthroplasty·J H LonnerP A Lotke
Nov 22, 2001·Clinical Orthopaedics and Related Research·R E JonesJ Skedros
Dec 4, 2003·Clinical Orthopaedics and Related Research·Thomas K FehringThomas H McCoy
Oct 1, 2004·The Journal of Arthroplasty·Robert L BarrackShelby Hopkins
Nov 6, 2012·The Journal of Arthroplasty·Gerald E AlexanderGeorge J Haidukewych
Dec 3, 2013·The Bone & Joint Journal·S AgarwalR Morgan-Jones
Jan 30, 2015·The Bone & Joint Journal·R Morgan-JonesF S Haddad
Jun 28, 2015·The Journal of Arthroplasty·Kate E BuglerPhilip J Walmsley
Jul 26, 2015·The Journal of Arthroplasty·Heiko GraichenMarco Strauch
Mar 8, 2016·The Knee·David F Dalury, William P Barrett
Sep 19, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Carlos Martin-HernandezMiguel Ranera-Garcia
Oct 21, 2016·Archives of Orthopaedic and Trauma Surgery·David GøttscheHenrik M Schrøder
Jan 23, 2017·The Journal of Arthroplasty·Brian P ChalmersMichael J Taunton
Mar 21, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Catherine J FedorkaBrian A Klatt
Jul 13, 2017·The Journal of Arthroplasty·Tyler S WattersDouglas A Dennis

❮ Previous
Next ❯

Citations

Oct 31, 2019·Archives of Orthopaedic and Trauma Surgery·L RouquetteS Lustig
Aug 14, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Alexander Petershofer, Klemens Trieb
Oct 11, 2020·Archives of Orthopaedic and Trauma Surgery·Roger ErivanWayne Paprosky
Sep 11, 2019·Materials Science & Engineering. C, Materials for Biological Applications·Romina ShafaghiMark R Towler
Jan 12, 2021·Journal of Orthopaedics·Stephanie KirschbaumClemens Gwinner
Oct 17, 2021·Der Orthopäde·Eric RöhnerGeorg Matziolis

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.