Abstract
Fusion of the knee is a singularly difficult operation to accomplish. The indications are usually chronic infection after multiple previous total knee procedures, complicated traumatic injury to the knee leaving no significant surfaces for a replacement procedure, or a tumorous condition. On occasion, there may be an unusual case that is considered for conversion to total knee arthroplasty after a successful fusion. This presents one of the most difficult of all reconstructive procedures for the knee. Infection must be ruled out, the condition of the extensor mechanism must be evaluated, and the status of the skin must be clarified. There are a few papers in the literature that support this approach and report reasonable results.
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Ulstrup AK, Folkmar K, Broeng L. Knee arthrodesis with the Sheffield external ring fixator: fusion in 6 of 10 consecutive patients. Acta Orthop. 2007;78(3):371–6.
McQueen DA, Cooke FW, Hahn DL. Knee arthrodesis with the Wichita fusion nail: an outcome comparison. Clin Orthop Relat Res. 2006;446:132–9.
Kuo AC, Meehan JP, Lee M. Knee fusion using dual platings with the locking compression plate. J Arthroplasty. 2005;20(6):772–6.
Henkel TR, Boldt JG, Drobny TK, Munzinger UK. Total knee arthroplasty after formal knee fusion using unconstrained and semiconstrained components: a report of 7 cases. J Arthroplasty. 2001;16(6):768–76.
Clemens D, Lereim P, Holm I, Reikerays O. Conversion of knee fusion to total arthroplasty: complications in 8 patients. Acta Orthop. 2005;76(3):370–4.
Paley D. Principles of deformity correction. Heidelberg: Springer; 2002. p. 563–7.
Jauregui JJ, Buitrago CA, Pushilin SA, Browning BB, Mulchandani NB, Maheshwari AV. Conversion of a surgically arthrodesed knee to a total knee arthroplasty—is it worth it? A meta-analysis. J Arthroplasty. 2016;31(8):1736–41.
Kernkamp WA, Verra WC, Pijls BG, Schoones JW, van der Linden HM, Nelissen RG. Conversion from knee arthrodesis to arthroplasty: systematic review. Int Orthop. 2016;40(10):2069–74.
Conway JD, Mont MA, Bezwada HP. Arthrodesis of the knee. J Bone Joint Surg Am. 2004;86-A(4):835–48. Review.
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Tria, A.J., Paley, D. (2018). Management of Prior Knee Fusion. In: Tria, A., Scuderi, G., Cushner, F. (eds) Complex Cases in Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-69380-4_20
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DOI: https://doi.org/10.1007/978-3-319-69380-4_20
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