The Management of Bone Defects in Revision Total Knee Arthroplasty

Lee, Myung Chul; Seong, Sang Cheol; Jo, Hyun chul; Lee, Sang Hoon; Jang, Jin Dae; Park, Sang Eun; Lim, Soo Taek; Hwang, Chang Joo

Abstract

PURPOSE: Bone defects in revision TKA were classified according to AORI (Anderson Orthopedic Research Institute) system and results of the treatment are reported according to this classification.
MATERIALS AND METHODS
The results of 24 revision TKAs operated from Mar. 1991 to Apr. 1999 were analysed. Fourteen knees had type 1 tibial defects, four knees had type 2 and six knees had type 3. On the femoral side, twelve knees had type 1, four knees had type 2 and seven knees had type 3 defects. Cement and chip bone grafts were mainly used to fill bone defects in type 1, wedges or blocks in type 2 and structural allograft combined with the other methods in type 3. Results were evaluated using the knee and functional scores of the American knee society.
RESULTS
The analysis of the results according to the method of treatment- cement filling, chip bone graft, structural bone graft, wedge or blocks and custom made prosthesis- revealed improvements of knee scores in all groups except for custom made prosthesis.
CONCLUSION
Satisfactory clinical results were obtained for the management of bone defects according to the AORI classification system in revision total knee arthroplasty.