Martin J Ryan, Watters Tyler Steven, Levy Daniel L, Jennings Jason M, Boyle James P, Dennis Douglas A
Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.
Arthroplast Today. 2016 Jul 2;2(3):111-115. doi: 10.1016/j.artd.2016.05.003. eCollection 2016 Sep.
We describe a unique, utilitarian reconstructive treatment option known as tibial "spackling" for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ligament from the prominent medial edge of the tibial component. In the setting of failed nonoperative treatment, our experience with utilizing bone cement to reconstruct the medial tibial bone defect and create a smooth medial tibial surface has been successful in eliminating chronic medial soft tissue irritation.
我们描述了一种独特的、实用的重建治疗方案，即针对慢性、局限性内侧关节线疼痛进行胫骨“填补”，这种疼痛与翻修全膝关节置换术胫骨基板固定良好情况下胫骨内侧渐进性影像学周边骨质流失相对应。据信，这种局限性疼痛是由于胫骨组件突出的内侧边缘对内侧关节囊和侧副韧带的慢性刺激所致。在非手术治疗失败的情况下，我们利用骨水泥重建胫骨内侧骨缺损并创建光滑胫骨内侧表面的经验成功消除了慢性内侧软组织刺激。
