The Use of Structural Allograft in Primary and Revision Knee Arthroplasty with Bone Loss
2011

Using Structural Allograft in Knee Surgery

Sample size: 61 publication Evidence: moderate

Author Information

Author(s): Raul A. Kuchinad, Shawn Garbedian, Benedict A. Rogers, David Backstein, Oleg Safir, Allan E. Gross

Primary Institution: Mount Sinai Hospital

Hypothesis

Can structural allografts effectively address bone loss in knee arthroplasty?

Conclusion

Structural allografts are a viable option for treating significant bone loss in knee arthroplasty, especially in younger, active patients.

Supporting Evidence

  • 85% survivorship at 4.2 years was reported in one study using structural allografts.
  • Most literature indicates 80-93% survivorship of constructs at 5 years.
  • 6.5% infection rate was noted in a cohort of 61 patients.

Takeaway

Doctors can use special bone grafts from donors to help fix knees that have lost a lot of bone. This helps patients walk better again.

Methodology

The study reviews the use of structural allografts in knee arthroplasty, discussing indications, techniques, and outcomes based on previous literature.

Potential Biases

Potential bias in reporting outcomes based on the authors' institutional practices.

Limitations

The study primarily focuses on specific patient demographics and may not apply to all knee arthroplasty cases.

Participant Demographics

Patients included were primarily younger, active individuals requiring knee revisions.

Digital Object Identifier (DOI)

10.4061/2011/578952

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