management of bone defects in revision total knee arthroplasty by brian k. daines, and douglas a....
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![Page 1: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/1.jpg)
Management of Bone Defects in Revision Total Knee Arthroplasty
by Brian K. Daines, and Douglas A. Dennis
J Bone Joint Surg AmVolume 94(12):1131-1139
June 20, 2012
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/2.jpg)
Preoperative anteroposterior radiograph.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/3.jpg)
Intraoperative photographs demonstrating an extensive cavitary defect (arrow) managed with particulate allografting (bottom).
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/4.jpg)
Anteroposterior radiograph made thirteen years postoperatively.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/5.jpg)
Preoperative lateral radiograph showing osseous defect (arrows).
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/6.jpg)
Intraoperative photographs demonstrating a Type-IIA osseous defect of the lateral femoral condyle (top) managed with a tructural femoral head allograft (bottom).
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/7.jpg)
Postoperative lateral radiograph made eight years after reconstruction of the structural allograft.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/8.jpg)
Photograph of the various tibial metaphyseal sleeves (top) available to treat Type-II and III osseous defects, and intraoperative photograph (bottom) of the proximal part of the tibia
following broaching for a metaphyseal sleeve, demonstrating precise defec...
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/9.jpg)
Preoperative anteroposterior (left) and lateral (right) radiographs showing many 8-mm cement plugs in the femur (arrow) and tibia.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/10.jpg)
Postoperative anteroposterior (left) and lateral (right) radiographs following reconstruction with a diaphyseal-engaging stem and femoral and tibial metaphyseal sleeves.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/11.jpg)
Preoperative anteroposterior (left) and lateral (right) radiographs showing the fractures of the medial and lateral condyles (arrows).
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.
![Page 12: Management of Bone Defects in Revision Total Knee Arthroplasty by Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am Volume 94(12):1131-1139 June](https://reader036.vdocument.in/reader036/viewer/2022081603/56649e765503460f94b77e9e/html5/thumbnails/12.jpg)
Postoperative anteroposterior (left) and lateral (right) radiographs following reconstruction with a distal femoral condyle-replacing hinged prosthesis.
Brian K. Daines, and Douglas A. Dennis J Bone Joint Surg Am 2012;94:1131-1139
©2012 by The Journal of Bone and Joint Surgery, Inc.