کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4060810 | 1603996 | 2014 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Knee Arthrodesis as Limb Salvage for Complex Failures of Total Knee Arthroplasty Knee Arthrodesis as Limb Salvage for Complex Failures of Total Knee Arthroplasty](/preview/png/4060810.png)
Patients with multiple failures of total knee arthroplasty (TKA) are challenging limb salvage cases. Twenty one patients over the last 10 years were referred to our service for knee fusion by arthroplasty surgeons who felt they were not candidates for revision TKA. Active infection was present in 76.2% and total bone loss averaged 6.6 cm. Lengthening was performed in 7/22 patients. Total time in Ilizarov frames was 9 months, with 93.3% union. Patients treated with IM fusion nails had 100% union. Average LLD increased from 3.6 to 4.5 cm following intervention, while those with concurrent lengthening improved to 1.6 cm. Findings suggest that bone loss and the soft-tissue envelope dictate knee fusion method, and multiple techniques may be needed. A treatment algorithm is presented.
Journal: The Journal of Arthroplasty - Volume 29, Issue 11, November 2014, Pages 2150–2155