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• W2805406788 abstract "Current Advances in Total Knee Arthroplasty Bone loss management in revision total knee arthroplastyIvan De Martino, Vasileios Sakellariou, Peter K Sculco, Lazaros Poultsides & Thomas P SculcoIvan De MartinoIvan De Martino completed his medical degree and residency at the Catholic University of the Sacred Heart (Rome, Italy). Since residency, he has been interested in adult reconstruction and joint replacement research and biomechanics and he is currently working as a Research Fellow at the Hospital for Special Surgery (NY, USA).Search for more papers by this author, Vasileios SakellariouVasileios Sakellariou graduated from the Medical School of Athens (Greece) in 2002. He served as a Fellow at the Mayo Clinic (MN, USA) and the Hospital for Special Surgery (NY, USA). He is currently appointed as an attending at the First Department of Orthopaedics, University of Athens.Search for more papers by this author, Peter K SculcoPeter K Sculco received his BA from Princeton University (NJ, USA) in 2004. He completed his orthopedic residency at the Hospital for Special Surgery in 2014 and will pursue a fellowship in lower extremity adult reconstruction at the Mayo Clinic in Rochester.Search for more papers by this author, Lazaros PoultsidesLazaros Poultsides graduated from the University of Athens School of Medicine (1998). He completed his residency (2009) at the University of Thessaly (Volos, Greece) and fellowships in orthopedic trauma and musculoskeletal infections at the University of Southern California (USA), and adult reconstructive and hip preservation surgery at the Hospital for Special Surgery.Search for more papers by this author & Thomas P SculcoThomas P Sculco is currently Surgeon in Chief. He is the Chairman of the Department of Orthopaedic Surgery at New York-Presbyterian Hospital (USA) and a Professor of Orthopaedic Surgery at Weill Cornell Medical College and Chairman of Orthopedic Surgery (NY, USA). He founded the International Society of Orthopaedic Centers, the VA Orthopaedic Society, was a founding member of the Knee Society and is currently President Elect. In 2013 he was awarded the Austrian Cross of Honor, First Class, for Science and Art.Search for more papers by this authorPublished Online:6 Feb 2014https://doi.org/10.2217/fmeb2013.13.247AboutSectionsView ArticleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinkedInReddit View chapterAbstract: Total knee arthroplasty (TKA) is considered one of the most effective and successful orthopedic surgical procedures. The number of TKAs performed annually have increased dramatically, with an expected growth of 673% between 2005 and 2030, and now include a younger and more active patient population. Since the rate of aseptic loosening, infection, periprosthetic fracture and osteolysis remain relatively unchanged, the projected number of patients requiring revision TKAs is expected to grow by 601% over the next 20 years [1]. Revision TKA is complex and requires advanced surgical techniques, particularly in bone preservation and bone-loss management. Bone loss is a consistent issue in the revision setting, secondary to previous bone resection, infection, stress shielding, subsidence, periprosthetic osteolysis, fracture and iatrogenic bone loss during implant removal [2]. A successful revision TKA requires a stable bone–component interface and joint-line restoration, making the management of bone loss during revision TKA of paramount importance reflected in the longevity of the implant and clinical outcome [3]. References1 Kurtz S , Ong K , Lau E , Mowat F , Halpern M . Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030 . J. Bone Joint Surg. Am. 89 (4) , 780 – 785 (2007) . Crossref, Medline, Google Scholar2 Huff TW , Sculco TP . Management of bone loss in revision total knee arthroplasty . J. Arthroplasty 22 (7 Suppl. 3) , 32 – 36 (2007) . Crossref, Medline, Google Scholar3 Bush JL , Wilson JB , Vail TP . Management of bone loss in revision total knee arthroplasty . Clin. Orthop. Relat. Res. 452 , 186 – 192 (2006) . Crossref, Medline, Google Scholar4 Mulhall KJ , Ghomrawi HM , Engh GA , Clark CR , Lotke P , Saleh KJ . Radiographic prediction of intraoperative bone loss in knee arthroplasty revision . 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Patellar component resection arthroplasty for the severely compromised patella . Clin. Orthop. Relat. Res. 397 , 356 – 361 (2002) . Crossref, Medline, Google Scholar25 Vince K , Roidis N , Blackburn D . Gull-wing sagittal patellar osteotomy in total knee arthroplasty . Tech. Knee Surg. 1 , 106 – 112 (2002) . Crossref, Google Scholar26 Hanssen AD . Bone-grafting for severe patellar bone loss during revision knee arthroplasty . J. Bone Joint Surg. Am. 83-A (2) , 171 – 176 (2001) . Crossref, Medline, CAS, Google Scholar27 Kamath AF , Gee AO , Nelson CL , Garino JP , Lotke PA , Lee GC . Porous tantalum patellar components in revision total knee arthroplasty minimum 5-year follow-up . J. Arthroplasty 27 (1) , 82 – 87 (2012) . Crossref, Medline, Google ScholarFiguresReferencesRelatedDetails Current Advances in Total Knee ArthroplastyMetrics Downloaded 11 times History Published online 6 February 2014 Published in print February 2014 Information© Future Medicine Ltd© Future Medicine LtdPDF download" @default.
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