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Tecnica delle artrodesi di ginocchio

Knee arthrodesis technique

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LO SCALPELLO-OTODI Educational

Abstract

Knee arthrodesis was a common procedure before development of prosthetic replacement surgery. At present the most important indication for this intervention is septic failure of knee prosthesis. Several techniques can be used and each procedure may offer advantages and disadvantages which have to be analyzed before surgery according to the patient. Intramedullary nailing and external fixation are the most common techniques used for knee arthrodesis and both procedures show favorable results in most patients. Persistent infection and incomplete bone fusion are the main complications of knee arthrodesis. Because of residual functional impairment, all the candidates to knee arthrodesis should be informed about the results expected after the operation and possible alternative methods of treatment.

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Bibliografia

  1. Windsor RE (1993) Knee arthrodesis. In: Insall JN (Ed.) Surgery of the knee. Churchill Livingstone Inc, New York

    Google Scholar 

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

    PubMed  Google Scholar 

  3. Hanssen AD, Trousdale RT, Osmon DR (1995) Patient outcome with reinfection following reimplantation for the infected total knee arthroplasty. Clin Orthop 321:55–67

    PubMed  Google Scholar 

  4. Nahabedian MY, Mont MA, Orlando JC et al (1999) Operative management and outcome of complex wounds following total knee arthroplasty. Plast Reconstr Surg 104:1688–1697

    Article  CAS  PubMed  Google Scholar 

  5. Arroyo JS, Garvin KL, Neff JR (1997) Arthrodesis of the knee with a modular titanium intramedullary nail. J Bone Joint Surg Am 79:26–35

    Article  CAS  PubMed  Google Scholar 

  6. Garvin KL, Pellicci PM, Windsor RE et al (1989) Contralateral total hip arthroplasty or ipsilateral total knee arthroplasty in patients who have a long-standing fusion of the hip. J Bone Joint Surg Am 71:1355–1362

    CAS  PubMed  Google Scholar 

  7. Casanova D, Hulard O, Zalta R et al (2001) Management of wounds of exposed or infected knee prostheses. Scand J Plast Reconstr Surg Hand Surg 35:71–77

    Article  CAS  PubMed  Google Scholar 

  8. Damron TA, McBeath AA (1995) Arthrodesis following failed total knee arthroplasty: comprehensive review and meta-analysis of recent literature. Orthopedics 18:361–368

    CAS  PubMed  Google Scholar 

  9. Benevenia J, Makley JT, Locke M et al (1994) Resection arthrodesis of the knee for tumor: large intercalary allograft and long intramedullary nail technique. Semin Arthroplasty 5:76–84

    CAS  PubMed  Google Scholar 

  10. Bellomo F, Boggio F (2002) L’artrodesi nei fallimenti protesici. In: Salvi V (Ed.) La protesizzazione del ginocchio: primo impianto e revisioni. Education program Stryker

  11. Charnley J (1960) Arthrodesis of the knee. Clin Orthop 18:37–42

    Google Scholar 

  12. Hagemann WF, Woods GW, Tullos HS (1978) Arthrodesis in failed total knee replacement. J Bone Joint Surg Am 60:790–794

    CAS  PubMed  Google Scholar 

  13. Woods GW, Lionberger DR, Tullos HS (1983) Failed total knee arthroplasty. Revision and arthrodesis for infection and noninfectious complications. Clin Orthop 173:184–190

    PubMed  Google Scholar 

  14. 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 

  15. Siller TN, Hadjipavlou A (1976) Knee arthrodesis: long-term results. Can J Surg 19:217–219

    CAS  PubMed  Google Scholar 

  16. Putti V (1928) A study of two cases of tumour of the femur. In: The Robert Jones Birthday Volume. Oxford University, London:35–41

    Google Scholar 

  17. Juvara E (1921) Procedé de resection de la partie superieure de tibia avec substitution a la partie enlevée d’une greffe prelevé sur le femur. Presse Medicale 29:241–243

    Google Scholar 

  18. Pritchett JW, Mallin BA, Matthews AC (1988) Knee arthrodesis with a tension-band plate. J Bone Joint Surg Am 70:285–288

    CAS  PubMed  Google Scholar 

  19. Lucas DB, Murray WR (1961) Arthrodesis of the knee by double-plating. J Bone Joint Surg Am 43:795–808

    Google Scholar 

  20. Nichols SJ, Landon GC, Tullos HS (1991) Arthrodesis with dual plates after failed total knee arthroplasty. J Bone Joint Surg Am 73:1020–1024

    CAS  PubMed  Google Scholar 

  21. Lim HC, Bae JH, Hur CR et al (2009) Arthrodesis of the knee using cannulated screws. J Bone Joint Surg Br 91:180–184

    Article  CAS  PubMed  Google Scholar 

  22. Usui M, Ishii S, Naito T et al (1996) Arthrodesis of knee joint by vascularized fibular graft.Microsurgery:2–

    Article  CAS  PubMed  Google Scholar 

  23. Ellingsen DE, Rand JA (1994) Intramedullary arthrodesis of the knee after failed total knee arthroplasty. J Bone Joint Surg Am 76:870–877

    CAS  PubMed  Google Scholar 

  24. 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 

  25. Knutson K, Hovelius L, Lindstrand A, Lidgren L (1984) Arthrodesis after failed knee arthroplasty. A nationwide multicenter investigation of 91 cases. Clin Orthop 191:202–211

    PubMed  Google Scholar 

  26. Donley BG, Matthews LS, Kaufer H (1991) Arthrodesis of the knee with an intramedullary nail. J Bone Joint Surg Am 73:907–913

    CAS  PubMed  Google Scholar 

  27. Fern ED, Stewart HD, Newton G (1989) Curved Kuntscher nail arthrodesis after failure of knee replacement. J Bone Joint Surg Br 71:588–590

    CAS  PubMed  Google Scholar 

  28. Eralp L, Kocaoglu M, Tuncay I et al (2008) Knee arthrodesis using a unilateral external fixator for the treatment of infectious sequelae. Acta Orthop Traumatol Turc 42:84–89

    PubMed  Google Scholar 

  29. MacDonald JH, Agarwal S, Lorei MP et al (2006) Knee arthrodesis. J Am Acad Orthop Surg 14:154–163

    PubMed  Google Scholar 

  30. Parratte S, Madougou S, Villaba M et al (2007) Knee arthrodesis with a double mono-bar external fixators to salvage infected knee arthroplasty: retrospective analysis of 18 knees with mean seven-year follow-up. Rev Chir Orthop Reparatrice Appar Mot 93:373–380

    CAS  PubMed  Google Scholar 

  31. Pellicci PM, Tria AJ, Garvin KL (2000) Hip and knee reconstruction. Orthopaedic Knowledge Update, American Academy of Orthopaedic Surgeons, Rosemont, IL

    Google Scholar 

  32. Klinger HM, Spahn G, Schultz W, Baums MH (2006) Arthrodesis of the knee after failed infected total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 14:447–453

    Article  PubMed  Google Scholar 

  33. Bargiotas K, Wohlrab D, Sewecke JJ et al (2007) Arthrodesis of the knee with a long intramedullary nail following the failure of a total knee arthroplasty as the result of infection. Surgical technique. J Bone Joint Surg Am 89[Suppl. 2]:103–110

    Article  PubMed  Google Scholar 

  34. Mabry TM, Jacofsky DJ, Haidukewych GJ, Hanssen AD (2007) Comparison of intramedullary nailing and external fixation knee arthrodesis for the infected knee replacement. Clin Orthop 464:11–15

    PubMed  Google Scholar 

  35. De Vil J, Almqvist KF, Vanheeren P et al (2008) Knee arthrodesis with an intramedullary nail: a retrospective study. Knee Surg Sports Traumatol Arthrosc 16:645–650

    Article  PubMed  Google Scholar 

  36. Kuo AC, Meehan JP, Lee M (2005) Knee fusion using dual platings with the locking compression plate. J Arthroplasty 20:772–776

    Article  PubMed  Google Scholar 

  37. Talmo CT, Bono JV, Figgie MP et al (2007) Intramedullary arthrodesis of the knee in the treatment of sepsis after TKR. HSS J 3:83–88

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. U.O.S.D. Chirurgia Settica Osteoarticolare, U.O.A. Ortopedia e Traumatologia, Istituto Ortopedico Maria Adelaide, Azienda Ospedaliera CTO-Maria Adelaide, Torino, Italy

    G. Cicero, S. Artiaco, E. Buttafarro, F. Boggio, D. Aloj, K. Zoccola & F. Bellomo

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  1. G. Cicero
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  2. S. Artiaco
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  3. E. Buttafarro
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  4. F. Boggio
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  5. D. Aloj
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  6. K. Zoccola
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  7. F. Bellomo
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Cicero, G., Artiaco, S., Buttafarro, E. et al. Tecnica delle artrodesi di ginocchio. LO SCAL 23, 204–209 (2009). https://doi.org/10.1007/s11639-009-0047-5

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