CLINICAL EVALUATION OF USING AUTOLOGOUS BONE GRAFTING AND CEMENTED FILLING OF CONDYLE DEFECT OF THE TIBIAL PLATEAU AT TOTAL KNEE ARTHROPLASTY

At condyle defect of the tibial plateau, autologous bone grafting or full cemented filling of the defect is mostly used, herewith no determined clarity in what events one or another method of the filling at total knee arthroplasty is acceptable. The aim of this research is studying outcomes of operative treatment of patients with tibial condyle defect after total knee arthroplasty. Methods. 34 patients with tibial condyle defect had total knee arthroplasty; 15 with autologous bone grafting and 19 with cement filling. The Clinical examination sick was conducted scale for knee joint Bristol Knee Score. Results. On osteoimpaction place had joining of the tibial plateau, but in osteosclerosis area observed the osteolysis offset of the hip component in front - back and lateral directions to 2,0 mms, tibial component in front - back direction also to 2,0 mms above of the cement mantle. Conclusion. At total knee arthroplasty with tibial condyle defect, using both types is possible, cement filling is preferable at elderly patients, autologous bone grafting ? at younger patients.