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• W2740949425 endingPage "177" @default.
• W2740949425 startingPage "171" @default.
• W2740949425 abstract "Some authors have advocated for use of porous tantalum metaphyseal cones to manage bone defects during revision total knee arthroplasty (TKA). The purpose of this study is to compare results with porous metaphyseal cones to results with traditional hybrid stem fixation in revision TKA.Forty-nine patients undergoing revision TKA with femoral and/or tibial metaphyseal cones (39 tibial only, 3 femoral only, 7 both) were matched by surgical indication to 49 patients undergoing revision TKA with a traditional hybrid stem (non-cone) technique. Clinical and radiographic outcomes were compared at a minimum of two-year follow-up (mean 3.5 years) with adjustment for baseline characteristics.Pre-revision bone defects and most baseline demographics were similar between the cone and non-cone cohorts suggesting appropriate matching. Patients in the non-cone cohort had greater pre- to post-operative increases in Knee Society Score (37.2 ± 18.6 vs 28.4 ± 17.8, P = .010) and Knee Society Functional Score (30.4 ± 24.3 vs 13.1 ± 27.6, P = .003). The cohorts did not differ with respect to complications, subsequent reoperation, subsequent revision, patient satisfaction, tibial overhang, the presence of radio-sclerotic lines, cortical hypertrophy around the stems, or tibial subsidence.In this series, metaphyseal cones were not associated with superior outcomes at short-term follow-up. Given the increased cost associated with use of cones compared to traditional techniques, this study cannot support the routine use of metaphyseal cones in revision TKA. Longer-term follow-up will be necessary to determine if construct durability differs over the long term." @default.
• W2740949425 created "2017-08-08" @default.
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• W2740949425 date "2018-01-01" @default.
• W2740949425 modified "2023-10-03" @default.
• W2740949425 title "Do Porous Tantalum Metaphyseal Cones Improve Outcomes in Revision Total Knee Arthroplasty?" @default.
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• W2740949425 doi "https://doi.org/10.1016/j.arth.2017.07.033" @default.
• W2740949425 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/28844630" @default.
• W2740949425 hasPublicationYear "2018" @default.
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