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The Management of Bone Loss in Total Knee Replacement

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Total Knee Replacement

Abstract

Over the past two decades, total knee arthroplasty has evolved into one of the most successful of orthopaedic procedures. The quality of the clinical result has become predictable and reproducible, pain is relieved, and function improved. These excellent results have been obtained in patients with and without severe angular deformities. This chapter, however, will concern itself with those more complicated knees with marked angular deformities in the varus/valgus, flexion/extension, or rotatory planes associated with bone defects.

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References

  • Altchek D, Sculco TP, Rawling B (1989) Autogenous bone grafting for severe angular deformity in total knee arthroplasty. J Arthroplasty 4: 151–156

    Article  PubMed  CAS  Google Scholar 

  • Brooks PJ, Walker PS, Scott RD (1984) Tibial component fixation in deficient tibial bone stock. Clin Orthop 184: 302–308

    PubMed  Google Scholar 

  • Dorr LD, Boirdo RA (1986) Technical considerations in total knee arthroplasty. Clin Orthop 205: 5–11

    PubMed  Google Scholar 

  • Dorr LD, Ranawat CS (1984) Bone grafts for tibial deficits in total knee arthroplasty. In: Dorr LD (ed) Revision of total hip and knee. University Park Press, Baltimore, Md, p 143

    Google Scholar 

  • Dorr LD, Ranawat DS, Sculco TP et al. (1986) Bone graft for tibial defects in total knee arthroplasty. Clin Orthop 205: 153–165

    PubMed  Google Scholar 

  • Insall JN (1984) Total knee replacement. In: Insall JN (ed) Surgery of the knee. Churchill Livingstone, New York

    Google Scholar 

  • Laskin RS (1989a) The surgical technique for the performance of a total knee replacement arthroplasty. Orthop Clin N Am 20-3: 31–48

    Google Scholar 

  • Laskin RS (1989b) Total knee replacement in the presence of large bony defects of the tibia and marked knee instability. Clin Orthop 248: 66–70

    PubMed  Google Scholar 

  • Laskin RS, Cameron H, Light R (1985) Correction of tibial bone loss during total knee replacement. A scientific exhibit presented at the 52nd annual meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, Nevada

    Google Scholar 

  • Laskin RS, Rieger M, Schob C, Turen C (1988) The posterior stabilized total knee prosthesis in the knee with a severe fixed deformity. Am J Knee Surg 1: 199–203

    Google Scholar 

  • Lotke PA, Wong R, Ecker ML (1985) The management of large tibial defects in primary total knee replacement. A scientific presentation at the 52nd annual meeting of the American Academy of Orthopaedic Surgeons, Las Vegas, Nevada

    Google Scholar 

  • Merkel KD, Johnson EW (1986) Supracondylar fracture of the femur after total knee arthroplasty. J Bone Joint Surg (Am) 68: 29–43

    CAS  Google Scholar 

  • Ranawat CS (1985) How to compensate for bone loss. In: Ranawat CS (ed) Total condylar knee arthroplasty. Springer-Verlag, New York

    Chapter  Google Scholar 

  • Ritter MA (1986) Screw and cement fixation of large defects in total knee arthroplasty. J Arthroplasty 1: 125–130

    Article  PubMed  CAS  Google Scholar 

  • Sneppen O, Christensen P, Larsen H, Vary PS (1981) Mechanical testing of trabecular bone in knee replacement. Int Orthop 5: 251

    Article  PubMed  CAS  Google Scholar 

  • Vince KG, Dorr LD (1987) Surgical technique of total knee arthroplasty: principles and controversy. Techn Orthop 1: 69–82

    Google Scholar 

  • Windsor RE, Insall JN, Sculco TP (1986) Bone grafting of tibial defects in primary and revision total knee arthroplasty. Clin Orthop 205: 153–165

    Google Scholar 

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© 1991 Springer-Verlag London Limited

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Sculco, T.P., Springorum, H.W., De Nicola, U., Lowe, W.J., Laskin, R.S. (1991). The Management of Bone Loss in Total Knee Replacement. In: Laskin, R.S. (eds) Total Knee Replacement. Springer, London. https://doi.org/10.1007/978-1-4471-1825-1_15

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  • DOI: https://doi.org/10.1007/978-1-4471-1825-1_15

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1827-5

  • Online ISBN: 978-1-4471-1825-1

  • eBook Packages: Springer Book Archive

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