Denehy KM, Abhari S, Krebs VE, et al. - Via a review of 62 revision TKAs using metaphyseal tibial cones, with 15 cases utilizing both tibial and femoral cones, researchers studied the survivorship, clinical outcomes, and complications of revision TKA using highly porous 3-dimensionally printed titanium metaphyseal cones. Of the cones, revision-free survival was 90.2%. If infection was not included, survivorship was 100%. No cases of aseptic loosening were noted. The mean Knee Society Score progressed from 51 points preoperatively to 80 points during the time of latest follow-up whereas the mean Knee Society Functional Score progressed from 48 points preoperatively to 68 points. A total of 15/62 patients needed further surgery, ie, ten, three, one, and one for infection, contracture, patellar subluxation, quadriceps tendon rupture, respectively. Metaphyseal fixation was concluded as crucial for survivorship in revision TKA which could be difficult because of cancellous and structural bone loss encountered at the time of revision. Prosthetic joint infection persisted to be the principal cause of failure in revision TKA. The use of highly porous titanium metaphyseal cones produced from 3-dimensionally printed technology used in this study exhibited outstanding short-term outcomes without any case of aseptic loosening.