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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number 5

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Acta Ortop Mex 2004; 18 (5)

Knee arthrodesis in periprosthetic fracture-luxation and loosening. A case report

Lozano MFJ

Language: Spanish
References: 16
Page: 212-215
PDF size: 60.90 Kb.


ABSTRACT

Purpose. We present a surgical option for the treatment of associated late complications after a total knee replacement. Case report. The 81 year old patient had been operated in another hospital four years before. She fell down resulting in a periprosthetic femoral fracture and a prosthetic dislocation. The components showed signs of severe loosening. We decided to perform a prosthetic removal and a knee arthrodesis using a Kuntscher nail. The femoral fracture was fixed using wire cerclajes and a bone allograft was used to fill the defect. Results. Weight bearing was allowed after the operation and three months later there were signs of fracture union and bone graft integration. As a complication the nail migrated proximally and it was changed for a static nail. At the end of the follow up the patient is free of pain and with an acceptable function of the extremity. Conclusions. Knee arthrodesis is a procedure used as a last option for the treatment of infected or loosed arthroplasties. In our case it was difficult to consider any other reconstructive procedure due to the association of fracture, dislocation and loosening.


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