López López JA, Castro Menéndez M, Domínguez Prado DM, Souto Míguez P, Capellá González P, Penín Gómez C, Gómez Díaz P. A systematic review of the literature: The use of metaphyseal sleeves in revision total knee arthroplasty.
Rev Esp Cir Ortop Traumatol (Engl Ed) 2024;
68:280-295. [PMID:
37573941 DOI:
10.1016/j.recot.2023.08.014]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 08/01/2023] [Accepted: 08/04/2023] [Indexed: 08/15/2023] Open
Abstract
BACKGROUND AND OBJECTIVES
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.
MATERIAL AND METHOD
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.
RESULTS
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%.
CONCLUSIONS
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.
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