Autologous bone grafting plus screw fixation for medial tibial defects in total knee arthroplasty

To investigate the efficacy of autologous bone grafting plus screw fixation to reconstruct the medial tibial defects in total knee arthroplasty (TKA). From November 2001 to November 2004, 46 patients (50 knees) with medial tibial bone defects underwent TKA at our hospital. There were 16 males (16 kn...

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Veröffentlicht in:Zhong hua yi xue za zhi 2011-08, Vol.91 (29), p.2046-2050
Hauptverfasser: Liu, Jun, Sun, Zhen-hui, Tian, Meng-qiang, Wang, Pei, Wang, Lei
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container_issue 29
container_start_page 2046
container_title Zhong hua yi xue za zhi
container_volume 91
creator Liu, Jun
Sun, Zhen-hui
Tian, Meng-qiang
Wang, Pei
Wang, Lei
description To investigate the efficacy of autologous bone grafting plus screw fixation to reconstruct the medial tibial defects in total knee arthroplasty (TKA). From November 2001 to November 2004, 46 patients (50 knees) with medial tibial bone defects underwent TKA at our hospital. There were 16 males (16 knees) and 30 females (34 knees). They included osteoarthritis (OA) (n = 35, 38 knees) and rheumatoid arthritis (RA) (n = 11, 12 knees). A total of 46 patients underwent three-dimensional CT (computed tomography) reconstruction to evaluate the tibial plateau defects after osteotomy. Single or double distal femoral osteotomic bone was used to reconstruct the bone defects with the hollow nail internal fixation. Another 80 TKA patients (86 knees) were randomly selected as the control group. The surgical outcome, lateral migration of tibial component and joint line elevation, etc. were analyzed and the follow-up knee society scores recorded. The patients were followed up for 6 to 9 years. Two patients were lost to follow
doi_str_mv 10.3760/cma.j.issn.0376-2491.2011.29.009
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subjects Aged
Arthritis, Rheumatoid - surgery
Arthroplasty, Replacement, Knee - instrumentation
Arthroplasty, Replacement, Knee - methods
Bone Screws
Bone Transplantation
Female
Fracture Fixation - instrumentation
Fracture Fixation - methods
Humans
Knee Prosthesis
Male
Middle Aged
Osteoarthritis - surgery
Tibial Fractures - surgery
Transplantation, Autologous
title Autologous bone grafting plus screw fixation for medial tibial defects in total knee arthroplasty
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