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. 2015 Nov;30(11):1990-4.
doi: 10.1016/j.arth.2015.05.015. Epub 2015 May 19.

Metaphyseal Sleeves for Revision Total Knee Arthroplasty: Good Short-Term Outcomes

Kate E Bugler  1 , Rohit Maheshwari  1 , Isaaq Ahmed  1 , Ivan J Brenkel  1 , Philip J Walmsley  1
Affiliations

Metaphyseal Sleeves for Revision Total Knee Arthroplasty: Good Short-Term Outcomes

Kate E Bugler et al. J Arthroplasty. 2015 Nov.

Abstract

Metaphyseal sleeve prostheses have shown promising results in the management of bone defects at revision TKA. We present a study of their use in aseptic revision TKA. Thirty-five revisions were included in 34 patients with wear or aseptic loosening indicated in 71% of cases. The majority of cases (63%) were AORI grade 2 or greater on the tibia or femur. Knee Society scores were excellent or good in 83% of patients with the same percentage having no or only mild pain. One patient suffered a sleeve-related complication with femoral condylar fractures three years postoperatively; these united with good outcomes. All radiographs were satisfactory; no patient required a further revision. We report good outcomes with the use of metaphyseal sleeves in revision TKA.

Keywords: arthroplasty; aseptic; knee; replacement; revision; sleeves.

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