翻修膝关节置换术中的骨缺损处理:多孔金属锥和三维打印锥的作用

Giuseppe Marongiu, A. Capone, Marco Verona, G. Piovan, Claudio Zorzi, Daniel Kendoff, Marta Bandino
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引用次数: 0

摘要

在全球范围内,全膝关节置换术的翻修次数不断增加。翻修手术是一项极具挑战性的手术,需要处理首次植入物移除后的骨质流失问题。虽然还需要进一步的长期随访研究,但在全膝关节置换术翻修中使用锥体可以获得可靠的固定和稳定性,从而恢复关节线,尤其是在骨量较差的高难度手术中。在翻修手术中引入 3D 打印锥体似乎对 AORI III 型骨缺损很有利,尤其是在减少术中并发症和手术时间方面。本研究旨在回顾现有文献,分析在全膝关节翻修手术中使用骺钽锥体和新型 3D 打印锥体治疗骨缺损的临床效果、并发症和放射学结果。
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The Management of Bone Defects in Revision Knee Arthroplasty: The Role of Porous Metal Cones and 3D-Printed Cones
Worldwide, the number of revisions to total knee arthroplasty procedures is increasing. Revision surgery is a challenging procedure, required for the management of bone loss after removal of the first implant. Although further long-term follow-up studies are needed, the use of cones in revisions of total knee arthroplasty yields reliability in fixation and stability to restore joint lines, especially in challenging surgeries with poor bone stock. The introduction of 3D-printed cones in revision surgery seems to be advantageous for AORI type III bone defects, especially in reducing intraoperative complications and procedure times. The aim of this study is to review the currently available literature to analyse clinical outcomes, complications, and radiographical results with the use of metaphyseal tantalum cones and new 3D-printed cones for the management of bone defects in the revision of total knee arthroplasty.
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