Femoral and tibial cavitary bone defects are challenging scenarios, particularly encountered during revision total knee arthroplasty.
A proper management of these defects is crucial for achieving a stable construct, since bone loss compromises the stability of the implanted components.[1,2]
Leveraging its extensive experience with 3D Metal, Medacta has designed 3D Metal Femoral and Tibial Cones.
The 3D porous structure has been finely engineered to maximize the implant’s primary stability and to promote a structural and functional connection with the bone.[3,4,5]
As a result, 3D Metal Cones can be used to fill and reconstruct areas of bone deficiencies for efficiently managing even the most complex situations.[6,7]
“I truly believe that Medacta's 3D Metal Cones are a valuable solution. In my experience, these cones are extremely versatile and very user-friendly when filling cavitary bone defects in the diaphysis of the femur and the metaphysis of the tibia. They assist in recreating a proximal, structural foundation for the revision implant by achieving reliable proximal fixation and force distribution throughout the remaining host bone. The addition of these cones to Medacta’s GMK Revision System allows me to efficiently and reliably tackle my most difficult revision cases.”
Dr. David Manning, MD
"It always makes me very happy to have 3D Metal Cones in challenging knee revision cases at hand. In such environment, they show their true nature of optimized design and versatile anatomic fit. The reduced wall thickness and the overall adaptability of cones are advantageously coupled with offset connectors and large diameter stems. The state-of-the-art manufacturing process, i.e. 3D printing, makes them extremely light and easy to use, but at the same time very robust and resistant. Absolutely my choice when metaphyseal tibia is in poor condition."
Dr. Dragan Jeremic
“I was impressed with the surgical press-fit of the 3D Metal Tibial Cones provided by the highly porous 3D layer which achieves cementless fixation to the bone. As a result, I was able to aim for higher stability of the revision implant. The instrumentation was straightforward to use and complementary to my typical revision workflow. The dedicated instruments allow for efficiently guiding each step of the procedure."
Dr. Kevin D. Hardt, MD
The unparalleled versatility of the 3D printing technology allows for selectively combining different patterns within the component.
 D. D. Bohl et al., «Do Porous Tantalum Metaphyseal Cones Improve Outcomes in Revision Total Knee Arthroplasty?», The Journal of Arthroplasty, vol. 33, n. 1, pagg. 171–177, gen. 2018, doi: 10.1016/j.arth.2017.07.033.
 P. Derome, A. Sternheim, D. Backstein, e M. Malo, «Treatment of Large Bone Defects With Trabecular Metal Cones in Revision Total Knee Arthroplasty: Short Term Clinical and Radiographic Outcomes», The Journal of Arthroplasty, vol. 29, n. 1, pagg. 122–126, gen. 2014, doi: 10.1016/j.arth.2013.04.033.
 Medacta: data on file.
 L. Dall’Ava, H. Hothi, A. Di Laura, J. Henckel, A. Hart. 3D Printed Acetabular Cups for Total Hip Arthroplasty: A Review Article. Metals 2019, 9, 729.
 L. Dall’Ava, H. Hothi, J. Henckel, A. Di Laura, P. Shearing, A. Hart. Comparative analysis of current 3D printed acetabular titanium implants. 3D Printing in Medicine 2019; 5:15.
 C. L. Jensen, M. M. Petersen, H. M. Schrøder, G. Flivik, e B. Lund, «Revision Total Knee Arthroplasty With the Use of Trabecular Metal Cones», The Journal of Arthroplasty, vol. 27, n. 10, pagg. 1820-1826.e2, dic. 2012, doi: 10.1016/j.arth.2012.04.036.
 T. Bonanzinga, T. Gehrke, A. Zahar, S. Zaffagnini, M. Marcacci, e C. Haasper, «Are Trabecular Metal Cones a Valid Option to Treat Metaphyseal Bone Defects in Complex Primary and Revision Knee Arthroplasty?», Joints, vol. 6, n. 1, pagg. 58–64, dic. 2017, doi: 10.1055/s-0037-1608950.