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Arthroplast Today. 2016 Jul 02;2(3):111-115. doi: 10.1016/j.artd.2016.05.003. eCollection 2016 Sep.

Medial tibial "spackling" to lessen chronic medial tibial soft tissue irritation.

Arthroplasty today

J Ryan Martin, Tyler Steven Watters, Daniel L Levy, Jason M Jennings, James P Boyle, Douglas A Dennis

Affiliations

  1. Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA.

PMID: 28326411 PMCID: PMC5045467 DOI: 10.1016/j.artd.2016.05.003

Abstract

We describe a unique, utilitarian reconstructive treatment option known as tibial "spackling" for chronic, localized medial joint line pain corresponding with progressive radiographic peripheral medial tibial bone loss beneath a well-fixed revision total knee arthroplasty tibial baseplate. It is believed that this localized pain is due to chronic irritation of the medial capsule and collateral ligament from the prominent medial edge of the tibial component. In the setting of failed nonoperative treatment, our experience with utilizing bone cement to reconstruct the medial tibial bone defect and create a smooth medial tibial surface has been successful in eliminating chronic medial soft tissue irritation.

Keywords: Bone cement; Medial tibial bone loss; Spackling; Total knee arthroplasty

References

  1. J Bone Joint Surg Br. 2010 Sep;92(9):1253-8 - PubMed
  2. J Am Acad Orthop Surg. 2011 Jun;19(6):311-8 - PubMed
  3. Bone Joint J. 2015 Jun;97-B(6):793-801 - PubMed
  4. Clin Orthop Relat Res. 2011 Jan;469(1):18-25 - PubMed
  5. Clin Orthop Relat Res. 1998 Nov;(356):39-46 - PubMed
  6. Clin Orthop Surg. 2013 Jun;5(2):124-8 - PubMed
  7. J Bone Joint Surg Am. 2008 Jan;90(1):78-84 - PubMed
  8. J Rheumatol. 2008 Dec;35(12):2415-8 - PubMed
  9. Clin Orthop Relat Res. 2005 Nov;440:131-4 - PubMed
  10. Clin Orthop Relat Res. 2005 Nov;440:96-100 - PubMed

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