Stem Fixation in Revision Total Knee Arthroplasty: Indications, Stem Dimensions, and Fixation Methods

Knee Surgery & Related Research
Se Gu KangSang Jun Song

Abstract

Although stems improve initial mechanical stability in revision total knee arthroplasty (TKA), ideal indications, proper lengths and diameters, and appropriate fixation methods remain controversial. The topics of the present article include the indications, selection of lengths and diameters, and fixation methods of stems in revision TKA. The use of a stem in revision TKA can protect the juxta-articular bone. A stem cannot be a substitute for optimal component fixation; it plays an adjunctive role in transferring the loads from the compromised metaphysis to the stronger diaphysis. Proper bone surface preparation and appropriate use of the stem based on a great store of knowledge are required to support the stemmed components effectively in revision TKA. The balance between overshielding and overloading the juxta-articular bone would provide excellent structural protection. The stem length and diameter should be tailored according to patients' anatomical characteristics and determined fixation strategy. There are two traditional methods of stem fixation including the total cementation technique and the hybrid technique with a cementless press-fit stem. Selection of a cementation technique should be based on thorough consideratio...Continue Reading

References

Apr 10, 1999·The Orthopedic Clinics of North America·C H Rorabeck, J W Taylor
Oct 16, 2003·The Journal of Arthroplasty·Brian S ParsleyMichael A Conditt
Mar 29, 2006·Clinical Orthopaedics and Related Research·Friedrich BottnerSteven B Haas
Aug 2, 2007·The Journal of Knee Surgery·John A AndersonThomas P Sculco
Nov 27, 2008·Clinical Orthopaedics and Related Research·Gavin C WoodRobert B Bourne
Aug 20, 2010·The Journal of Bone and Joint Surgery. American Volume·Qiheng TangQing Liu
Dec 15, 2010·Injury·Roman PfeiferHans-Christoph Pape
Jul 31, 2012·The Journal of Bone and Joint Surgery. British Volume·C E H Scott, L C Biant
Jul 3, 2013·Clinical Orthopaedics and Related Research·Paul K EdwardsSusan M Odum
Jun 29, 2014·The Journal of Arthroplasty·Jeremy M GilillandWalter B Beaver
Jun 30, 2015·The Journal of Arthroplasty·Mohamed S GobbaStephen J Incavo
Sep 16, 2015·Current Reviews in Musculoskeletal Medicine·Anay Rajendra PatelAmar S Ranawat
Dec 22, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Changyao WangRobert Hube
Oct 6, 2016·Archives of Orthopaedic and Trauma Surgery·Bilal Farouk El-ZayatBernardo Innocenti
Mar 24, 2017·Archives of Orthopaedic and Trauma Surgery·X ForuriaF Boettner
May 4, 2017·Annals of Translational Medicine·Luigi SabatiniAlessandro Massè
May 16, 2017·The Journal of Arthroplasty·David A CrawfordAdolph V Lombardi
Jun 1, 2017·The Journal of Arthroplasty·Andrew N FleischmanJavad Parvizi
Jun 27, 2017·The Journal of Arthroplasty·Andrew N FleischmanJavad Parvizi

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Citations

Nov 7, 2019·Der Orthopäde·Max EttingerSven Hungerer
Aug 14, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Alexander Petershofer, Klemens Trieb
Aug 2, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Gerard A SheridanBassam A Masri
Jan 15, 2021·Journal of Orthopaedics·Alvin Ck Tan
Jan 12, 2021·Journal of Orthopaedics·S K S Marya, Chandeep Singh
Jul 6, 2020·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Sung-Sahn LeeYoung-Wan Moon
Jul 14, 2021·Archives of Orthopaedic and Trauma Surgery·M PietschTh Hofstädter

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