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    SURGICAL TECHNIQUE: Cemented and Hybrid Cemented Stem Use in Revision TKA

    One of the keys to a successful revision total knee arthroplasty (TKA) is stable metaphyseal fixation, says Jay R. Lieberman, MD, from Keck School of Medicine at USC in Los Angeles. A short cemented stem is the workhorse for most surgeons, as it:

    • Allows for rapid fixation
    • Does not burn bone stock for future revisions
    • Can be used with cones
    • Can be used to deliver local antibiotics

    RELATED: Dr. Arlen Hanssen performs a revision TKA for an infected knee

    Dr. Lieberman discussed the use of cemented and hybrid cemented/cementless stems for revision procedures at ICJR’s annual Revision Hip & Knee Course, commenting on the surgical technique and pros and cons of cemented and cementless stems, as well as reviewing data on the hybrid technique. [1,2]

    Click the link above to watch Dr. Lieberman’s presentation.

    Disclosures

    Dr. Lieberman has no disclosures relevant to this presentation.

    References

    1. Fleischman AN, Azboy I, Fuery M, Restrepo C, Shao H, Parvizi J. Effect of stem size and fixation method on mechanical failure after revision total knee arthroplasty. J Arthroplasty. 2017 Sep;32(9S):S202-S208.e1. doi: 10.1016/j.arth.2017.04.055. Epub 2017 May 4.
    2. Heesterbeek PJ, Wymenga A, van Hellemondt GG. No difference in implant micromotion between hybrid fixation and fully cemented revision total knee arthroplasty: a randomized controlled trial with radiostereometric analysis of patients with mild-to-moderate bone loss. J Bone Joint Surg Am 2016 Aug 17;98(16):1359-69. doi: 10.2106/JBJS.15.00909.