Clinical application of isolated polyethylene exchange in revision total knee arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2022.01.012

Abstract

Abstract:

Total knee arthroplasty (TKA) is one of the most successful procedures for the treatment of severe end-stage knee disease. With the increasing demand for TKA in China, the number of revision TKA will increase rapidly. Considering the complexity of revision TKA, partial knee revision has become an option for clinicians when handling TKA failure. Compared with other revision methods, isolated polyethylene exchange (IPE) has the advantages of less trauma and quick recovery, so it is worth considering firstly. At present, there is a lack of systematic discussion on how to correctly master and apply the indications and contraindications of IPE. This paper focused on the research progress of isolated polyethylene exchange at revision TKA.

Key words: Knee, Arthroplasty, Reoperation, Polyethylene, review

Songwen Ou, Qi Li. Clinical application of isolated polyethylene exchange in revision total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(01): 74-78.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2022.01.012

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2022/V16/I01/74

References 32

[16]	Hug KT, Amanatullah DF, Huddleston JI, et al. Protocol-Driven revision for stiffness after total knee arthroplasty improves motion and clinical outcomes[J]. J Arthroplasty, 2018, 33(9): 2952-2955.
[17]	Xiong L, Klemt C, Yin J, et al. Outcome of revision surgery for the idiopathic stiff total knee arthroplasty[J]. J Arthroplasty, 2021, 36(3): 1067-1073.
[18]	Cheuy VA, Foran J, Paxton RJ, et al. Arthrofibrosis associated with total knee arthroplasty[J]. J Arthroplasty, 2017, 32(8): 2604-2611.
[19]	Pitta M, Esposito C, Li Z, et al. Failure after modern total knee arthroplasty: a prospective study of 18，065 knees[J]. J Arthroplasty, 2018, 33(2): 407-414.
[20]	De Man FH, Sendi P, Zimmerli W, et al. Infectiological, functional, and radiographic outcome after revision for prosthetic hip infection according to a strict algorithm[J]. Acta Orthop, 2011, 82(1): 27-34.
[21]	Brimmo O, Ramanathan D, Schiltz NK, et al. Irrigation and debridement before a 2-Stage revision total knee arthroplasty does not increase risk of failure[J]. J Arthroplasty, 2016, 31(2): 461-464.
[22]	Baker JF, Dilworth B, Bhimani SJ, et al. Risk of reinfection after irrigation and debridement of acute periprosthetic joint infection following TKA[J]. J Knee Surg, 2020, 33(7): 623-628.
[23]	侯大标，罗斯敏，查振刚，等．全膝关节置换术后术膝顽固性肿胀积液处理对策[J]．中国临床研究，2019，32(12): 1667-1670.
[24]	Tegethoff JD, Walker-Santiago R, Wm R, et al. Isolated liner revision for total knee arthroplasty instability: a road that should remain less taken[J/OL]. J Knee Surg, 2020. DOI: 10.1055/s-0040-1721091.
[25]	Duensing I, Pelt CE, Anderson MB, et al. Revisiting the role of isolated polyethylene exchange for aseptic failures in total knee arthroplasty[J]. Knee, 2020, 27(3): 958-962.
[26]	梁鹏，牛舜．人工关节置换术后假体无菌性松动的早期诊断[J/CD]．中华关节外科杂志(电子版)，2019，13(1): 99-104.
[27]	Murer AM, Hirschmann MT, Amsler F, et al. Bone SPECT/CT has excellent sensitivity and specificity for diagnosis of loosening and patellofemoral problems after total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2020, 28(4): 1029-1035.
[28]	Martin JR, Geary MB, Ransone M, et al. Is a full component revision necessary for isolated tibial loosening？[J]. Bone Joint J, 2020, 102-B(6_Supple_A): 123-128.
[29]	Cooper HJ, Moya-Angeler J, Bas-Aguilar M, et al. Isolated polyethylene exchange with increased constraint is comparable to component revision TKA for instability in properly selected patients[J]. J Arthroplasty, 2018, 33(9): 2946-2951.
[30]	Konrads C, Brieske S, Holder M, et al. Outcome of isolated polyethylene tibial insert exchange after primary cemented total knee arthroplasty[J]. Int Orthop, 2015, 39(6): 1093-1097.
[31]	Tetreault MW, Hines JT, Berry DJ, et al. Isolated tibial insert exchange in revision total knee arthroplasty : reliable and durable for wear; less so for instability, insert fracture/dissociation, or stiffness[J]. Bone Joint J, 2021, 103-B(6): 1103-1110.
[32]	Garbarino LJ, Gold PA, Sodhi N, et al. The effect of operative time on in-hospital length of stay in revision total knee arthroplasty[J/OL]. Ann Transl Med, 2019, 7(4): 66. DOI.10.21037/atm.2019.01.54.
[1]	中华医学会骨科学分会关节外科学组．骨关节炎诊疗指南(2018年版)[J]. 中华骨科杂志，2018，38(12): 705-715.
[2]	Mandl LA. Determining who should be referred for total hip and knee replacements[J]. Nat Rev Rheumatol, 2013, 9(6): 351-357.
[3]	边焱焱，程开源，常晓，等.2011至2019年中国人工髋膝关节置换手术量的初步统计与分析[J]．中华骨科杂志，2020，40(21): 1453-1460.
[4]	Delanois RE, Mistry JB, Gwam CU, et al. Current epidemiology of revision total knee arthroplasty in the United States[J]. J Arthroplasty, 2017, 32(9): 2663-2668.
[5]	Chalmers BP, Pallante GD, Sierra RJ, et al. Contemporary revision total knee arthroplasty in patients younger than 50 years: 1 in 3 risk of re-revision by 10 years[J]. J Arthroplasty, 2019, 34(7S): S266-S270.
[6]	Pang HN, Bin AH, Petis S, et al. The role of isolated polyethylene exchange in total knee arthroplasty[J]. EFORT Open Rev, 2017, 2(3): 66-71.
[7]	Petrie JR, Gj H. Instability in total knee arthroplasty : assessment and solutions[J]. Bone Joint J, 2016, 98-B(1 Suppl A): 116-119.
[8]	Green CC, Haidukewych GJ. Isolated polyethylene insert exchange for flexion instability after primary total knee arthroplasty demonstrated excellent results in properly selected patients[J]. J Arthroplasty, 2020, 35(5): 1328-1332.
[9]	Fehring TK, Baird R3, Park B, et al. When polyethylene exchange is appropriate for prosthetic knee instability[J/OL]. J Am Acad Orthop Surg Glob Res Rev, 2019, 3(5): e031. DOI: 10.5435/JAAOSGlobal-D-19-00031.
[10]	Willson SE, Munro ML, Sandwell JC, et al. Isolated tibial polyethylene insert exchange outcomes after total knee arthroplasty[J]. Clin Orthop Relat Res, 2010, 468(1): 96-101.
[11]	Thiele K, Perka C, Matziolis G, et al. Current failure mechanisms after knee arthroplasty have changed: polyethylene wear is less common in revision surgery[J]. J Bone Joint Surg Am, 2015, 97A(9): 715-720.
[12]	Kandahari AM, Yang X, Laroche KA, et al. A review of UHMWPE wear-induced osteolysis: the role for early detection of the immune response[J/OL]. Bone Res, 2016, 4(12): 16014. DOI：10.1038/boneres.2016.14.
[13]	Baker RP, Masri B, Greidanus NV, et al. Outcome after isolated polyethylene tibial insert exchange in revision total knee arthroplasty[J]. J Arthroplasty, 2013, 28(1): 1-6.
[14]	Greenwell PH, Shield WP, Chapman DM, et al. Isolated revision of the polyethylene component at revision total knee arthroplasty has excellent survivorship at ten years[J]. Bone Joint J, 2019, 101-B(7 Supple C): 104-107.
[15]	Schairer WW, Vail TP, Bozic KJ. What are the rates and causes of hospital readmission after total knee arthroplasty？[J]. Clin Orthop Relat Res, 2014, 472(1): 181-187.

Please choose a citation manager

Content to export