Skip to main content
SpringerLink
Log in

Knee arthrodesis after infected tumor mega prosthesis of the knee using an intramedullary nail for callus distraction

  • Original Article
  • Published:
Langenbeck's Archives of Surgery Aims and scope Submit manuscript

Abstract

Background

Infected tumor endoprosthesis of the knee in young patients can prove to be challenging. Common procedures are débridement and prosthesis reimplantation, amputation, revision arthroplasty, and arthrodesis.

Case presentation

We report the case of a 44-year-old man treated by arthrodesis followed by callus distraction after removal of an infected tumor mega prosthesis (Kotz type). Callus distraction was performed over a distance of 11 cm in 4 months using a femorotibial intramedullary nail with an external traction rope-winch system.

Methods and focus

The clinical, radiological, technical, and therapeutic features are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3a–c.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. Manzotti A, Pullen C, Guerreschi F, Catagni MA (2002) Knee arthrodesis and limb lengthening in the treatment of infected total knee arthroplasty: case report. J Trauma 52:359–363

    PubMed  Google Scholar 

  2. Zwart FH, Taminiau AHM, Schimmel JW, van Horn JR (1994) Kotz modular femur and tibial replacement: 28 tumor cases followed for 3 (1–8) years. Acta Orthop Scand 65:315–318

    CAS  PubMed  Google Scholar 

  3. Rasmussen MR, Bishop AT, Wood MB (1995) Arthrodesis of the knee with a vascularized fibular rotatory graft. J Bone Joint Surg Am 77:751–759

    CAS  PubMed  Google Scholar 

  4. Ritschl P, Capanna R, Helwig U, Campanacci M, Kotz R (1992) KMFTR (Kotz Modular Femur Tibia Reconstruction System) modular tumor endoprosthesis system for the lower extremity. Z Orthop Ihre Grenzgeb 130:290–293

    CAS  PubMed  Google Scholar 

  5. Shin DS, Choong PFM, Chao EYH, Sim FH (2000) Large tumor endoprostheses and extracortical bone-bridging. 28 patients followed 10–20 years. Acta Orthop Scand 71:305–311

    Article  CAS  PubMed  Google Scholar 

  6. Mittermayer F, Windhager R, Dominkus M, Krepler P, Schwameis E, Sluga M, Kotz R, Strasser G (2002) Revision of the Kotz type of tumour endoprosthesis for the lower limb. J Bone Joint Surg Br 84:401–406

    CAS  PubMed  Google Scholar 

  7. Falahee MH, Matthews LS, Kaufer H (1987) Resection arthroplasty as a salvage procedure for a knee with infection after a total arthroplasty. J Bone Joint Surg Am 69:1013–1021

    CAS  PubMed  Google Scholar 

  8. Rand JA, Bryan RS, Chao EYS (1987) Failed total knee arthroplasty treated by arthrodesis of the knee using the Ace-Fisher apparatus. J Bone Joint Surg Am 69:39–45

    CAS  PubMed  Google Scholar 

  9. Oostenbroek HJ, van Roermund PM (2001) Arthrodesis of the knee after an infected arthroplasty using the Ilizarow method. J Bone Joint Surg Br 83:50–54

    CAS  PubMed  Google Scholar 

  10. Insall JN, Thompson FM, Brause BD (1983) Two stage reimplantation for the salvage of infected total knee arthroplasty. J Bone Joint Surg Am 65:1087–1098

    CAS  PubMed  Google Scholar 

  11. Morrey BF, Westholm F, Schoifet F, Rand JA, Bryan RS (1989) Long-term results of various treatment options for infected total knee arthroplasty. Clin Orthop 248:120–128

    PubMed  Google Scholar 

  12. Wilde AH, Stearns KI (1990) Intramedullary fixation for arthrodesis of the knee after infected total knee arthroplasty. Clin Orthop 248:87–92

    Google Scholar 

  13. Arroyo JS, Garvin KL, Neff JR (1997) Arthrodesis of the knee with a modular titanium intramedullary nail. J Bone Joint Surg Am 79:26–34

    CAS  PubMed  Google Scholar 

  14. Vlasak R, Gearen PF, Petty W (1995) Knee arthrodesis in the treatment of failed total knee replacement. Clin Orthop 321:138–144

    PubMed  Google Scholar 

  15. Puranen J, Kortelainen P, Jalovaara P (1990) Arthrodesis of the knee with intramedullary nail fixation. J Bone Joint Surg Am 72:433–442

    CAS  PubMed  Google Scholar 

  16. Knutson K, Lidgren L (1985) Arthrodesis for failed knee Arthroplasty. A report of four cases. J Bone Joint Surg Br 67:47–52

    CAS  PubMed  Google Scholar 

  17. Holzer G, Windhager R, Kotz R (1997) One-stage revision surgery for infected megaprosthesis. J Bone Joint Surg Br 79:31–35

    CAS  PubMed  Google Scholar 

  18. Lai KA, Shen WJ, Yang CY (1998) Arthrodesis with a short huckstep nail as a salvage procedure for failed total knee arthroplasty. J Bone Joint Surg Am 80:380–388

    CAS  PubMed  Google Scholar 

  19. Lonner JH, Koval KJ, Golyakhovsky V, Frankel VH (1995) Posttraumatic nonunion of the distal tibia metaphysis: treatment using the Ilizarow circular external fixator. Am J Orthop [Suppl]:16–21

  20. Marsh JL, Rattay RE, Dulaney T (1997) Results of the ankle arthrodesis for treatment of supramalleolar non-union and ankle arthrodesis. Foot Ankle Int 18:138–143

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Traumatology, University Hospital Essen, Hufelandstrasse 55, 45122, Essen, Germany

    C. A. Kühne, G. Taeger, D. Nast-Kolb & S. Ruchholtz

Authors
  1. C. A. Kühne
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Taeger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. D. Nast-Kolb
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Ruchholtz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. A. Kühne.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kühne, C.A., Taeger, G., Nast-Kolb, D. et al. Knee arthrodesis after infected tumor mega prosthesis of the knee using an intramedullary nail for callus distraction. Langenbecks Arch Surg 388, 56–59 (2003). https://doi.org/10.1007/s00423-003-0360-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00423-003-0360-z

Keywords

Search

Navigation