000162761 001__ 162761
000162761 005__ 20251017144625.0
000162761 0247_ $$2doi$$a10.1016/j.knee.2025.08.009
000162761 0248_ $$2sideral$$a145315
000162761 037__ $$aART-2025-145315
000162761 041__ $$aeng
000162761 100__ $$aSegura-Nuez, Juan
000162761 245__ $$aMetaphyseal sleeves for revision total knee arthroplasty for patients with bone cement allergy and minimal bone loss: a case series
000162761 260__ $$c2025
000162761 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162761 5203_ $$aWhen evaluating persistent knee inflammation following total knee arthroplasty (TKA), hypersensitivity to implant components should be considered once other causes have been excluded. Revision total knee arthroplasty (rTKA) in patients with bone cement hypersensitivity presents a unique challenge. Method. This study reports on four patients with clinical failure of TKA, three with confirmed allergy to polymethyl methacrylate (PMMA) and one to benzoyl peroxide, as demonstrated by skin patch testing. All patients underwent rTKA using metaphyseal sleeves. In three cases, diaphyseal stems were also used. Results, After a mean follow-up of 71.2 months, all patients experienced symptomatic improvement, with a mean increase in range of motion (ROM) of 12.5 degrees. There was a mean increase of 16, 75 points in Knee Society Score. None required additional surgery. Conclusion. In patients undergoing revision TKA due to confirmed allergy to bone cement and minimal bone loss, the use of metaphyseal sleeves—alone or in combination with stems—provides a viable cementless fixation strategy with promising mid-term outcomes.
000162761 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162761 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162761 700__ $$aSegura-Nuez, Julián Carlos
000162761 700__ $$aCastaño-Doste, María Belén
000162761 700__ $$0(orcid)0000-0001-6550-3619$$aRoche-Albero, Adrián$$uUniversidad de Zaragoza
000162761 700__ $$0(orcid)0000-0002-0858-0340$$aMartín-Hernández, Carlos
000162761 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia
000162761 773__ $$g57 (2025), 147-155$$pKnee$$tKNEE$$x0968-0160
000162761 8564_ $$s1613331$$uhttps://zaguan.unizar.es/record/162761/files/texto_completo.pdf$$yVersión publicada
000162761 8564_ $$s1827522$$uhttps://zaguan.unizar.es/record/162761/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162761 909CO $$ooai:zaguan.unizar.es:162761$$particulos$$pdriver
000162761 951__ $$a2025-10-17-14:23:49
000162761 980__ $$aARTICLE