trabecular metal

Management Bone Defects

AORI / Andersen Orthopedic Research Institute

 

T Tibial  F Femoral

 

1.  Contained Metaphyseal Defect

 

2.  Damaged Metaphyseal

A.  One Condyle

B.  Both Condyles

 

3.  Deficient Metaphysis +/- collaterals +/- extensor mechanism

 

1.  Contained Metaphyseal defect 

 

D Reimplantation Acetabulum

Principles of Acetabular reconstructionRevision Acetabulum Post Paprosky Type IIIC

 

Restore centre of rotation
Restore acetabular integrity
Component containment
Secure fixation


Preoperatively planning


Know components in situ (esp if leaving femur)
Quantify and grade bone defects
Beware intrapelvic cement / cup (angiogram)