RT Journal Article
T1 How to remove a well-fixed metaphyseal sleeve in revision knee arthroplasty: A step-by-step surgical procedure
A1 Sanz Ruiz, Pablo
A1 Matas Diez, Jose Antonio
A1 Villanueva Martinez, Manuel
A1 Fernandez Fernandez, Tanya
A1 Prats Peinado, Lourdes
A1 Vaquero Martín, Francisco Javier
AB BackgroundThe rising incidence and complexity of revision knee arthroplasty has led to an increase in the use of metaphyseal reconstruction systems. One of the most widely used systems are metaphyseal sleeves as they have demonstrated excellent long-term survival. However, there is concern about the possible difficulty of extracting a sleeve if it were necessary, as no known procedures have yet been validated.MethodsWe examined the outcomes of removing 23 well-integrated metaphyseal sleeves using the same systematized technique.ResultsAll sleeves were extracted without any intraoperative complications. Four subjects required an osteotomy to complete the extraction, while 62% of the sample were found to have an AORI IIB defect. All cases were successfully reconstructed with a new metaphyseal fixation, implanting a new sleeve in 38% of subjects compared with cones in the remaining 62%.ConclusionsThe technique described here produced successful, reproducible outcomes for the removal of integrated metaphyseal sleeves with minimal bone loss and no intraoperative complications.
PB Elservier
YR 2023
FD 2023-11-15
LK https://hdl.handle.net/20.500.14352/117532
UL https://hdl.handle.net/20.500.14352/117532
LA eng
NO Sanz-Ruiz, P., Matas-Diez, J. A., Villanueva-Martínez, M., Fernández-Fernández, T., Prats-Peinado, L., & Vaquero, J. (2024). How to remove a well-fixed metaphyseal sleeve in revision knee arthroplasty: A step-by-step surgical procedure. The Knee, 46, 52-61. https://doi.org/10.1016/j.knee.2023.11.008
DS Docta Complutense
RD 6 abr 2025