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.
Similar content being viewed by others
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
Conway JD, Mont MA, Bezwada HP (2004) Arthrodesis of the knee. J Bone Joint Surg Am 86-A(4):835–848
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
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
MacDonald JH, Agarwal S, Lorei MP, Johanson NA, Freiberg AA (2006) Knee arthrodesis. J Am Acad Orthop Surg 14(3):154–163
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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer International Publishing Switzerland
About this entry
Cite this entry
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
Download citation
DOI: https://doi.org/10.1007/978-3-319-02767-8_221-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Online ISBN: 978-3-319-02767-8
eBook Packages: Springer Reference MedicineReference Module Medicine