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Screw and cement augmentation of tibial defects in primary total knee arthroplasty: satisfactory midterm outcomes
  1. Gael Gaudin1,
  2. Chris Butcher2,
  3. Sebastien Lustig1,
  4. Nader Darwish2,
  5. Philippe Neyret2
  1. 1Department of Orthopaedics, Hopital de la Croix Rousse Centre Orthopedique Albert-Trillat, Lyon, France
  2. 2Department of Orthopaedics, Healthpoint, Abu Dhabi, UAE
  1. Correspondence to Dr Chris Butcher, Department of Orthopaedics, Healthpoint, Abu Dhabi 112308, UAE; c.butcher{at}healthpoint.ae

Abstract

Objective There are several options for dealing with tibial bone defects during total knee arthroplasty (TKA) in severe primary osteoarthritis. The aim of this study was to report the midterm results of TKA with screw and cement augmentation of moderate-sized tibial bone defects.

Methods Patients with osteoarthritis who had posterior stabilised TKA with screw and cement augmentation of the tibia were reviewed retrospectively. Patients were assessed preoperatively and at follow-up using the International Knee Society Knee Score (KS) and Function Score (FS), and radiographic analysis of alignment and signs of loosening.

Results Twenty knees in 19 patients were included in the study. The mean age was 71 years; mean follow-up was 58 months. KS improved from 46 to 76 and FS from 51 to 92. The femorotibial mechanical angle changed from 174 to 178. There were no signs of osteolysis or loosening, and no revisions. Radiolucent lines at the cement bone interface were common but non-progressive.

Conclusions Midterm clinical and radiographic results of TKA with screw and cement augmentation for moderate tibial defects were satisfactory.

Level of evidence V.

  • knee
  • osteoarthritis
  • bone
  • arthroplasty

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Footnotes

  • Contributors Contributor declaration planning: PN and SL; conduct: GG, PN and SL; reporting: CB, PN, GG, SL and ND.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests GG, CB, SL and ND: none declared. PN: Consultant to Amplitude, royalties from Corin.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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