2016, Number S3
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Rev Med Inst Mex Seguro Soc 2016; 54 (S3)
Mixed knee arthrodesis a rescue alternative in knee periprosthetic joint infection
López-Cervantes RE, Rivera-Villa AH, Miguel-Pérez A, Morales-de los Santos R, Torres-González R, Pérez-Atanasio JM
Language: Spanish
References: 24
Page: 314-319
PDF size: 324.34 Kb.
ABSTRACT
Background: Knee arthrodesis is a rescue procedure for patients with
knee periprosthetic joint infection who are not candidates for a revision
surgery. The actual methods present a high complication rate with only
moderate efectivity.
Methods: We retrospectively analyzed 17 cases, of patients with knee
periprosthetic joint infection and bone loss treated by intramedular
expandable nail and monoplanar external fixator with a mínimum evolution
of 1 year, evaluating the medical records and digitalized X-rays by 2
sub specialized doctors in osteoarticular rescue surgery.
Results: From the 17 patients, 88.2% were classified as Anderson
Orthopaedic Research Institute classification grade (III) and the 11.2%
IIB. We obtained fusion in 82.5%, staged Hammer (I-II) in a mean time
of 6.33 months. Achieving independent gait was reported in 88.2%. Our
complication rate was 47.1%, most of them minor complications except
for a supracondylar amputation. Our infection recurrence rate was
35.4%. Mean intervention rate was 2.47 surgeries, all without any operative
room complication.
Conclusions: We achieved a fusion rate similar to other available knee
arthrodesis methods in a similar treatment time; with lower complication
rate, making it a suitable rescue alternative for knee arthrodesis in
patients with significant bone loss and knee periprosthetic joint infection.
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