BONE ALLOGRAFTING IN REVISION KNEE ARTHROPLASTY: HISTOLOGICAL CHARACTERISTICS OF STRUCTURAL ALLOGRAFTS 54 MONTHS FOLLOW UP

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Abstract

Compensation of large bone defects by AORI third type classification is the most difficult problem the audit knee arthroplasty. In this situation, the surgeon have to choose between three possibilities: to use metal cones/sleeves, and, in cases with severely damaged metaepiphysis, to use structural allografts or oncological megaimplants. No doubt, it is interesting to follow the processes that are taking place with massive structural allografts implanted into the human body long time ago. This article presents the case study of the rheumatoid arthritis patient’s treatment with a severe lesion of the knee joint, subjected to repeated revision surgeries, last two of which are made with the use of massive structural allograft of femur. Morphological study of a massive distal femur allograft in 54 months after surgery showed that superficial ingrowth of connective tissue and blood vessels happens on the allograft’s border with its partial restructuring of the bone tissue at the border with the recipient bone. However, the most of allograft remains unchanged even after 54 months after surgery.

About the authors

T. A. Kuliaba

Vreden Russian Research Institute of Traumatology and Orthopedics
8, ul. Akad. Baykova, St. Petersburg, 195427, Russia

Author for correspondence.
Email: dr.Bovkis@mail.ru
Dr. Sci. (Med) Head of Knee Pathology Department Russian Federation

N. N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopedics
8, ul. Akad. Baykova, St. Petersburg, 195427, Russia
Mechnikov North-Western State Medical University
41, Kirochnaya ul., St. Petersburg, 191015, Russia

Email: dr.Bovkis@mail.ru
Dr. Sci. (Med) Professor of Chair of Traumatology and Orthopaedics, Vreden Russian Research Institute of Traumatology and Orthopaedics; Associate Professor of Department of Traumatology and Orthopaedics of Mechnikov North-Western State Medical University Russian Federation

G. Y. Bovkis

Vreden Russian Research Institute of Traumatology and Orthopedics
8, ul. Akad. Baykova, St. Petersburg, 195427, Russia

Email: dr.Bovkis@mail.ru
Researcher of Knee Pathology Department Russian Federation

I. I. Croitoru

Vreden Russian Research Institute of Traumatology and Orthopedics
8, ul. Akad. Baykova, St. Petersburg, 195427, Russia

Email: dr.Bovkis@mail.ru
Cand. Sci. (Med) Researcher of Knee Pathology Department Russian Federation

V. P. Rumakin

Vreden Russian Research Institute of Traumatology and Orthopedics
8, ul. Akad. Baykova, St. Petersburg, 195427, Russia

Email: dr.Bovkis@mail.ru
Cand. Sci. (Med) the Head of Autopsy Department Russian Federation

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