Revision Total Knee Arthroplasty With the Use of Trabecular Metal Cones A Randomized Radiostereometric Analysis With 2 Years of Follow-Up

Research output: Contribution to journalArticle

Abstract

"Trabecular Metal Cone" (TM Cone) (Zimmer, Inc, Warsaw, Ind) for reconstruction of bone loss in the proximal tibia during revision total knee arthroplasty is now optional. Forty patients were randomized to receive revision total knee arthroplasty with or without TM Cone (No TM Cone). The Anderson Orthopaedic Research Institute bone loss classification and NexGen revision system were used. Radiostereometric analysis was performed with 24 months of follow-up. Maximum total point motion: stable migration was seen in the TM Cone group. No statistically significant difference was found. Segment motion analysis at 24 months showed the same net direction of rotation for the groups around the y-, z-axis and around the x-, y-axis for translation. Tibial revision implants with TM Cone result in an early stable situation with less irregular migration pattern than revision without TM Cone.

Details

Authors
  • Claus L. Jensen
  • Michael M. Petersen
  • Henrik M. Schroder
  • Gunnar Flivik
  • Bjarne Lund
Organisations
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Orthopedics

Keywords

  • randomized study, rTKA, bone loss, trabecular metal, RSA
Original languageEnglish
Pages (from-to)1820-1826
JournalJournal of Arthroplasty
Volume27
Issue number10
Publication statusPublished - 2012
Publication categoryResearch
Peer-reviewedYes