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Cementless modular intramedullary nail without bone-on-bone fusion as a salvage procedure in chronically infected total knee prosthesis: long-term results

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Abstract

Purpose

Our purpose was to evaluate long-term results of two-stage cementless intramedullary nailing without achieving bone-to-bone fusion for treating chronically infected total knee arthroplasty (TKA).

Methods

Thirty-eight patients treated according to the same protocol were retrospectively evaluated for clinical, functional, laboratory and radiological outcomes.

Results

Spacer exchange was necessary for infection persistence in one case. At a minimum two year follow-up, 34 patients (89.5 %) showed no infection recurrence; among these 34 patients, 29 (85.3 %) reported no or moderate pain [visual analogue scale (VAS) ≤3]; mild to moderate handicap (Lequesne Algofunctional Index < 7.5) was observed in 18 patients (52.9 %). No patient underwent revision for aseptic loosening, and no nail breakage was observed.

Conclusions

Two-stage cementless intramedullary nailing without achieving bone-to-bone fusion is a viable option for treating chronically infected TKA in selected, complex cases.

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Authors and Affiliations

  1. Centro di Chirurgia Ricostruttiva e delle Infezioni Osteo-articolari, Istituto Ortopedico I.R.C.C.S. Galeazzi, Via Riccardo Galeazzi, 4, Milano, 20161, Italy

    Sara Scarponi, Delia Romanò, Nicola Logoluso, Andrea Peccati & Carlo L. Romanò

  2. Laboratorio di Analisi e Microbiologia, Istituto Ortopedico I.R.C.C.S. Galeazzi, Milano, Italy

    Lorenzo Drago

  3. Istituto Clinico San Siro, Milano, Italy

    Enzo Meani

Authors
  1. Sara Scarponi
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  2. Lorenzo Drago
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  3. Delia Romanò
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  4. Nicola Logoluso
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  5. Andrea Peccati
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  6. Enzo Meani
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  7. Carlo L. Romanò
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Corresponding author

Correspondence to Carlo L. Romanò.

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Scarponi, S., Drago, L., Romanò, D. et al. Cementless modular intramedullary nail without bone-on-bone fusion as a salvage procedure in chronically infected total knee prosthesis: long-term results. International Orthopaedics (SICOT) 38, 413–418 (2014). https://doi.org/10.1007/s00264-013-2232-7

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  • DOI: https://doi.org/10.1007/s00264-013-2232-7

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