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Managing Large Bone Defects in Revision Total Knee Arthroplasty with Metallic Augmments

January 01, 2013

Contributors: Daniel J Berry, MD; Daniel J Berry, MD

Keywords: Bony Procedure

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Managing bone loss in revision total knee arthroplasty is always challenging. Contained cavitary and combined cavitary-segmental metaphyseal defects in the femur and tibia can be filled with metaphyseal sleeves or porous cones. Doctor Berry illustrates techniques for filling large bone defects in both the tibia and the femur using metallic augments, including cones and sleeves. This program shows the sequence of steps to gain support for the new implant, improve rotational stability, and achieve secure fixation in knees with significant bone loss. Cemented and press-fit implants are discussed.

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