Combined osteoplasty of metaepiphysial defects in total knee arthroplasty with osteoplastic biomaterial

The research goal is to study the results of osteoplastic biomaterials application to reach the improvement of primary and long-term secondary stability of fixation. Materials and methods: 62 patients with bone defect of metaepiphy-sis of type 2 according to AORI have been included into the research. Total knee arthroplasty with osteoplasty of the defect has been carried out in all the patients. In the basic group (n=32) combined osteoplasty has been used, and in comparison group (n=30) cement osteoplasty has been applied. In cases with total arthroplasty in the basic group modifying standard resections, structural autograft of laminar form has been received simultaneously. After preparing the floor of the defect its plasty has been carried out: in the basic group the defect has been filled with osteoconductive biomaterial, and in the comparison group — with polymethylmethacrylate to restore the anatomical configuration of condyles. Besides, before cement fixation of the prosthesis in the basic group the received autograft has been put on the restored implant plateau. Results: Assessing the results during the period from 2 to 4 years objective criteria have included the data of X-ray imaging, biomechanical research and WOMAC test. In the postoperative period significant differences have not been revealed. In the follow-up period in the group with application of the combined osteoplasty joint remodulation of autograft and osteoplastic biomaterial with regenerative restoration of bone tissue of the implant plateau has been observed. Conclusion: The described technique may reduce the relative risk of revision arthroplasty.