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


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



Anteroposterior radiograph made thirteen years postoperatively.



Preoperative lateral radiograph showing osseous defect (arrows).



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



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



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...



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



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



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



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



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

Documents

journal of bone

joint surgery

dennis j bone joint

management of bone defects

lateral right radiographs

lateral femoral condyle

lateral condyles arrows

intraoperative photographs