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Knee Arthrodesis for Failed Total Knee Arthroplasty

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Limb Lengthening and Reconstruction Surgery Case Atlas
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Abstract

This is a case of infected total knee replacement in an elderly man who is a compromised host with multiple comorbidities. Successful arthrodesis was accomplished with aggressive debridement and stabilization with two monolateral external fixators placed in a multi-planar (90–90°) fashion. Compression at the fusion site and staged bone grafting enhanced bony union. Bone loss and limb shortening were accepted in this patient, and a shoe lift was used.

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References and Suggested Reading

  • Cheppalli NSPR, Conway JD (2013) Knee fusion: intramedullary nail. In: Parvizi J (ed) The knee: reconstruction replacement and revision, vol 2. Data Trace Publishing Company, Brooklandville, pp 114-1–114-14

    Google Scholar 

  • Conway JD, Mont MA, Bezwada HP (2004) Arthrodesis of the knee. J Bone Joint Surg Am 86-A(4):835–848

    PubMed  Google Scholar 

  • Corona PS, Hernandez A, Reverte-Vinaixa MM, Amat C, Flores X (2013) Outcome after knee arthrodesis for failed septic total knee replacement using a monolateral external fixator. J Orthop Surg (Hong Kong) 21(3):275–280

    Google Scholar 

  • Kuchinad R, Fourman MS, Fragomen AT, Rozbruch SR (2014) Knee arthrodesis as limb salvage for complex failures of total knee arthroplasty. J Arthroplasty. doi:10.1016/j.arth.2014.06.021, pii: S0883-5403(14)00429-X

    Google Scholar 

  • MacDonald JH, Agarwal S, Lorei MP, Johanson NA, Freiberg AA (2006) Knee arthrodesis. J Am Acad Orthop Surg 14(3):154–163

    PubMed  Google Scholar 

  • Spina M, Gualdrini G, Fosco M, Giunti A (2010) Knee arthrodesis with the Ilizarov external fixator as treatment for septic failure of knee arthroplasty. J Orthop Traumatol 11(2):81–88

    Article  PubMed Central  CAS  PubMed  Google Scholar 

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Correspondence to Janet D. Conway .

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© 2014 Springer International Publishing Switzerland

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Riedel, M., Conway, J.D. (2014). Knee Arthrodesis for Failed Total Knee Arthroplasty. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-02767-8_221-1

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  • DOI: https://doi.org/10.1007/978-3-319-02767-8_221-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-02767-8

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