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Dual massive skeletal allograft in revision total knee arthroplasty

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Abstract

The reconstruction of large uncontained defects represents a major challenge to the revision total knee surgeon, and the outcome of the revision often depends on the management of these bone deficiencies. We report the first successful use of both complete distal femoral and proximal tibia massive allografts in the reconstruction of large femoral and tibial uncontained defects during revision total knee arthroplasty. At the five-year follow up, we did not find any infection, graft failure or loosening of implant, in spite of using two massive structural allografts in a single revision total knee arthroplasty.

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References

  1. Stockley I, McAuley JP, Gross AE. Allograft reconstruction in total knee arthroplasty. J Bone Joint Surg Br 1992;74:393–7.

    Article  CAS  Google Scholar 

  2. Mow CS, Wiedel JD. Structural allografting in revision total knee arthroplasty. J Arthroplasty 1996;11:235–41.

    Article  CAS  Google Scholar 

  3. Backstein D, Safir O, Gross A. Management of bone loss: Structural grafts in revision total knee arthroplasty. Clin Orthop Relat Res 2006;446:104–12.

    Article  Google Scholar 

  4. Engh GA, Ammeen DJ. Use of structural allograft in revision total knee arthroplasty in knees with severe tibial bone loss. J Bone Joint Surg Am 2007;89:2640–7

    Article  Google Scholar 

  5. Engh GA. Bone defect classification. In: Engh GA, Rorabeck CH, editors. Revision total knee arthroplasty. Baltimore: Williams and Wilkins; 1997. p. 63–120.

    Google Scholar 

  6. Lord CF, Gebhardt MC, Tomford WM, Mankin HJ. Infection in bone allografts. Incidence, nature, and treatment. J Bone Joint Surg Am 1988;70:369–76.

    Article  CAS  Google Scholar 

  7. Bezwada HP, Shah AR, Zambito K, Cerynik DL, Johanson NA. Distal femoral allograft reconstruction for massive osteolytic bone loss in revision total knee arthroplasty. J Arthroplasty 2006;21:242–8.

    Article  Google Scholar 

  8. Zatsepin ST, Burdygin VN. Replacement of the distal femur and proximal tibia with frozen allografts. Clin Orthop Relat Res 1994;303:95–102.

    Google Scholar 

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Correspondence to Bhavuk Garg.

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Malhotra, R., Garg, B. & Kumar, V. Dual massive skeletal allograft in revision total knee arthroplasty. IJOO 45, 368–371 (2011). https://doi.org/10.4103/0019-5413.82345

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  • DOI: https://doi.org/10.4103/0019-5413.82345

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