management of bone defects in revision total knee arthroplasty by brian k. daines, and douglas a....

Management of Bone Defects in Revision Total Knee Arthroplasty

by Brian K. Daines, and Douglas A. Dennis

J Bone Joint Surg AmVolume 94(12):1131-1139

June 20, 2012

©2012 by The Journal of Bone and Joint Surgery, Inc.

Preoperative anteroposterior radiograph.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photographs demonstrating an extensive cavitary defect (arrow) managed with particulate allografting (bottom).

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph made thirteen years postoperatively.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Preoperative lateral radiograph showing osseous defect (arrows).

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photographs demonstrating a Type-IIA osseous defect of the lateral femoral condyle (top) managed with a tructural femoral head allograft (bottom).

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Postoperative lateral radiograph made eight years after reconstruction of the structural allograft.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Photograph of the various tibial metaphyseal sleeves (top) available to treat Type-II and III osseous defects, and intraoperative photograph (bottom) of the proximal part of the tibia

following broaching for a metaphyseal sleeve, demonstrating precise defec...

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Preoperative anteroposterior (left) and lateral (right) radiographs showing many 8-mm cement plugs in the femur (arrow) and tibia.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior (left) and lateral (right) radiographs following reconstruction with a diaphyseal-engaging stem and femoral and tibial metaphyseal sleeves.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Preoperative anteroposterior (left) and lateral (right) radiographs showing the fractures of the medial and lateral condyles (arrows).

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.

Postoperative anteroposterior (left) and lateral (right) radiographs following reconstruction with a distal femoral condyle-replacing hinged prosthesis.

Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139

©2012 by The Journal of Bone and Joint Surgery, Inc.