López López J A, Castro Menéndez M, Domínguez Prado D M, Souto Míguez P, Capellá González P, Penín Gómez C, Gómez Díaz P
Servicio de Cirugía Ortopédica y Traumatología, Hospital Álvaro Cunqueiro, Complexo Hospitalario Universitario de VigoVigo, Vigo, Pontevedra, España.
Servicio de Cirugía Ortopédica y Traumatología, Hospital Álvaro Cunqueiro, Complexo Hospitalario Universitario de VigoVigo, Vigo, Pontevedra, España.
Rev Esp Cir Ortop Traumatol. 2024 May-Jun;68(3):280-295. doi: 10.1016/j.recot.2023.08.014. Epub 2023 Sep 9.
The purpose of this study is to analyze the indications, complications, survivorship and clinical/functional outcome of metaphyseal sleeves as a treatment option in revision total knee arthroplasty.
A systematic review was made following the PRISMA recommendations on the use of metaphyseal sleeves for revision total knee arthroplasty. We included prospective and retrospective studies published in the last 10 years looking at implant survivorship, clinical and functional outcome with a minimum follow-up of 2 years.
The included studies showed good both functional and clinical outcomes. The overall reoperation rate was 16.2%, with an overall survival rate of 92.2% and aseptic survivorship of 98.2%.
Metaphyseal sleeves are a good treatment option for this surgery, especially in AORI II or III type bone defects, achieving good intraoperative and primary stability of the implant, with good and rapid osseointegration.
本研究旨在分析干骺端套管作为翻修全膝关节置换术治疗选择的适应证、并发症、生存率以及临床/功能结局。
按照PRISMA关于干骺端套管用于翻修全膝关节置换术的建议进行系统评价。我们纳入了过去10年发表的前瞻性和回顾性研究，观察植入物生存率、临床和功能结局，最小随访时间为2年。
纳入的研究显示出良好的功能和临床结局。总体再手术率为16.2%，总生存率为92.2%，无菌生存率为98.2%。
干骺端套管是该手术的良好治疗选择，尤其是在AORI II型或III型骨缺损中，可实现植入物良好的术中及初始稳定性，骨整合良好且迅速。
