Stem length in revision total knee arthroplasty

被引：39
|
作者：
Patel A.R. [1 ]
Barlow B. [2 ]
Ranawat A.S. [3 ]
机构：
[1] The Fondren Orthopaedic Group, 7401 Main St., Houston, 77030, TX
[2] The Hospital for Special Surgery, 535 E 70th St., New York, 10021, NY
[3] The Hospital for Special Surgery, 535 E 70th St, 6th Floor, New York, 10021, NY
来源：
Current Reviews in Musculoskeletal Medicine | 2015年 / 8卷 / 4期
关键词：
Cemented; Fixation; Length; Revision; Stem; Uncemented;
D O I：
10.1007/s12178-015-9297-4
中图分类号：
学科分类号：
摘要：
Stems are intramedullary extensions of either the femoral or tibial component of a total knee arthroplasty (TKA) designed to increase the mechanical stability to decrease the risk of aseptic loosening. Biomechanical studies have shown that TKA stems increase the mechanical stability by transferring load over a larger area and thereby reduce strain at the bone-component interface [1–4]. The length of a revision TKA stem is determined by the patient’s anatomy and the intended fixation, namely fully cemented or press-fit cortical contact. The advantages and disadvantages of various stem lengths must be weighed against the needs of the patient to achieve an optimal outcome. © 2015, Springer Science+Business Media New York.
引用
收藏
页码：407 / 412
页数：5
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