New option of tibial plateau plasty in total knee arthroplasty

Abstract

Abstract. Introduction There are several options of fixation and plasty for tibial defects. Screw and cement augmentation of the tibia is an alternative to
conventional bone autograft and allograft. Although use of metal and cement augments provides reliable support for the tibial plateau and facilitates early
weight-bearing on the operated limb the technique fails to maintain enough bone stock for future revisions. The purpose was to present an option of cement
and metal augmentation of the tibial component in total knee arthroplasty (TKA). Material and methods The technique consists of cement and screw
augmentation using three screws placed vertically as a regular triangle and being perpendicular to the tibial plateau. We describe the technique and a clinical
instance of type 2A defect of the proximal tibia using the author's method. Outcome measures were goniometry and radiography. Results Goniometry
examination showed positive dynamics in the first week after surgery with flexion of 110.0 degrees, extension 175.0 degrees; at 12 months with flexion
of 90.0 degrees and extension of 180.0 degrees. Radiographic examination demonstrated no instability and micromobility of the cement mantle.
Discussion The author's technique of screw and cement augmentation of the tibial component was practical for type 2A defects of the proximal tibia with a
shortage of materials of bone autografts. This is a pilot study that requires further investigations.