Use of autogenous onlay bone graft for uncontained tibial bone defects in primary total knee arthroplasty

The use of autogenous bone graft is a well-known technique for reconstruction of tibial bone defects in primary total knee arthroplasty (TKA). In cases where the size of the bone graft is inappropriate, the stability of bone graft fixation and subsequent bone graft to host bone incorporation may be...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2017-11, Vol.18 (1), p.502-502, Article 502
Main Authors: Yoon, Jung-Ro, Seo, In-Wook, Shin, Young-Soo
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee - methods
Bone defect
Bone graft
Bone transplantation
Bone Transplantation - methods
Complications and side effects
Female
Follow-Up Studies
Humans
Injuries
Knee Joint - diagnostic imaging
Knee Joint - physiology
Knee Joint - surgery
Knee Prosthesis
Knee reconstruction
Knee replacement
Knee replacement arthroplasty
Male
Methods
Middle Aged
Patient outcomes
Radiography
Range of Motion, Articular
Tibia
Tibia - transplantation
Transplantation, Autologous - methods
Treatment Outcome
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Summary:The use of autogenous bone graft is a well-known technique for reconstruction of tibial bone defects in primary total knee arthroplasty (TKA). In cases where the size of the bone graft is inappropriate, the stability of bone graft fixation and subsequent bone graft to host bone incorporation may be compromised. We describe a simple and reliable technique of reconstruction in a proximal tibia bone defect at the time of primary TKA by using autogenous onlay bone graft (AOBG). Records were reviewed of 19 patients (mean age, 72 years) who underwent primary TKA using AOBG without the additional allogenous bone or metal augments, between August 2013 and August 2014. Mean Knee Society score (KSS) in the 22 knees was significantly higher postoperatively than preoperatively (92 ± 4 vs. 30 ± 7, P 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-017-1826-4