Direct, Cementless, Metaphyseal Fixation in Knee Revision Arthroplasty With Sleeves-Short-Term Results

J Arthroplasty. 2015 Dec;30(12):2256-9. doi: 10.1016/j.arth.2015.06.030. Epub 2015 Jun 20.


Different options for implant fixation in revision TKA exist. Small series have been published on direct cementless fixation with sleeves. The objective of this study was to analyze the short- and mid-term results of sleeve-fixation in a large revision TKA series. In this prospective study 121 patients with 193 sleeves (119 tibial and 74 femoral) were included. Mean follow-up was 3.6 years (2-6.1 years). Analysis included clinical and radiographic assessment. ROM, KSS and Functional Score improved significantly. Fourteen patients (11.4%) underwent operative re-revision during the follow-up period. Direct cementless fixation in the metaphysis by sleeves is a promising option for implant fixation in revision TKA, both on the tibial and femoral side.

Keywords: cementless; metaphyseal fixation; revision TKA; sleeves; zonal fixation.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee / instrumentation
  • Arthroplasty, Replacement, Knee / methods*
  • Female
  • Femur / diagnostic imaging
  • Femur / surgery
  • Humans
  • Knee Joint / diagnostic imaging
  • Knee Joint / surgery*
  • Knee Prosthesis*
  • Male
  • Prospective Studies
  • Prosthesis Failure
  • Radiography
  • Reoperation / instrumentation
  • Reoperation / methods
  • Tibia / diagnostic imaging
  • Tibia / surgery
  • Treatment Outcome