CJRC Series: Old School v. New School Perspectives on Cone Usage in Revision

In this episode of HSS Presents, Dr. Peter Sculco is joined by his father, Dr. Thomas Sculco—a renowned expert in joint replacement and director of the Complex Joint Reconstruction Center at HSS—to discuss the evolving role of cones in revision knee arthroplasty. They review how bone loss was managed prior to the advent of cones, the resurgence of impaction grafting, and the shift from hybrid to fully cemented stems for improved outcomes. Dr. Thomas Sculco shares his philosophy on the appropriate use of cones, cautioning against overuse due to cost and potential for unnecessary bone removal. The conversation also addresses complex re-revision scenarios and challenges with cone fixation in sclerotic bone. Blending decades of surgical expertise with insights on innovation, cost-effectiveness, and patient-centered care, this episode offers a thoughtful look at current trends in revision arthroplasty.

To learn more about The Stavros Niarchos Complex Joint Reconstruction Center at HSS, visit our HSS webpage and our X account.