[Aseptic loosening after knee mega-prostheses].

Rev Med Liege

Service de Chirurgie orthopédique, CHU Liège, Belgique.

Published: January 2022

The use of mega-joint prostheses has become common practice in the field of reconstructive orthopedic surgery. These new implants are considered as the gold standard for reconstruction after joint and periarticular tumor and bone resections. The placement of these prostheses makes it possible, compared to an amputation, to preserve the pathological limb, but also to be able to ensure a solid assembly allowing immediate support and a quick functional recovery. However, the incidence of various complications following the placement of these implants remains higher compared to conventional joint replacement surgery. The most frequent can be classified into two distinct categories: mechanical and non-mechanical complications.

Download full-text PDF

Source

Publication Analysis

Top Keywords

[aseptic loosening
4
loosening knee
4
knee mega-prostheses]
4
mega-prostheses] mega-joint
4
mega-joint prostheses
4
prostheses common
4
common practice
4
practice field
4
field reconstructive
4
reconstructive orthopedic
4

Similar Publications

Cup-Cage Reconstruction for Pelvic Discontinuity: Encouraging Long-Term Survival.

J Arthroplasty

January 2025

Department of Orthopaedic Surgery, Division of Lower Limb Reconstruction, University of British Columbia, Vancouver, British Columbia, Canada.

Background: Pelvic discontinuity (PD) poses a difficult challenge in revision total hip arthroplasty (rTHA). There is a paucity of evidence assessing five- to ten-year outcomes of cup cages for PD. This study aimed to review the survivorship and outcomes of cup-cage constructs for PD.

View Article and Find Full Text PDF

The effect of bone relaxation on the simulated pull-off force of a cementless femoral knee implant.

J Biomech

January 2025

Radboudumc, Orthopaedic Research Lab, PO Box 9101, 6500 HB Nijmegen, the Netherlands.

Aseptic loosening is the primary cause of revision in cementless total knee arthroplasty (TKA), emphasizing the importance of strong initial stability for long-term implant success. Pre-clinical evaluations are crucial for understanding implant fixation mechanics and improving implant designs. Finite element (FE) analysis models often use linear elastic bone material models, which do not accurately reflect bone's mechanical behavior.

View Article and Find Full Text PDF

Distal femoral replacement (DFR) with megaprostheses is a salvage revision total knee arthroplasty (rTKA) procedure indicated in cases with massive bone defects in the distal femur. As long as these implants achieve fixation only in the diaphysis, the high aseptic loosening rate reported in some series is probably related to a lack of rotational stability. Two patients with extensive distal femoral bone defects with preservation of the metaphyseal-diaphyseal junction underwent rTKA.

View Article and Find Full Text PDF

Background: Revision reverse total shoulder arthroplasty (rTSA) of a previously cemented humeral component is challenging. In hip arthroplasty, the cement-within-cement (CwC) technique has been well described as an effective option. However, for shoulder arthroplasty there remains a paucity of data investigating this technique.

View Article and Find Full Text PDF

Background: Transfemoral osseointegrated prostheses, like other uncemented prostheses experience the risk of aseptic loosening and post-operative periprosthetic fractures, with an incidence between 3% and 30%. To date, however, osseointegrated off-the-shelf prostheses are manufactured in a limited number of sizes, and some patients do not meet the strict eligibility criteria of commercial devices. A customized osseointegrated stem was developed and a pre-clinical in vitro investigation of the stem was performed, to evaluate its biomechanical performance.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!