PMID: 9531206Apr 8, 1998Paper

Arthrodesis with a short Huckstep nail as a salvage procedure for failed total knee arthroplasty

The Journal of Bone and Joint Surgery. American Volume
K A LaiC Y Yang

Abstract

Arthrodesis of the knee with use of a short Huckstep nail was performed in thirty-three patients (thirty-three knees) after failure of a non-constrained total knee arthroplasty. The indication for the arthrodesis was an infection in thirty-one knees and a Charcot joint in two. Three knees had had a failed attempt at arthrodesis with use of external fixation. The Huckstep nail was inserted through the knee, retrograde into the femur, and then antegrade into the tibia. The duration of the operation averaged 104 minutes (range, sixty-five to 155 minutes). Local bone graft was used in all knees. At the time of follow-up, at an average of forty-seven months (range, eighteen to ninety-four months), thirty knees (91 per cent) had radiographic evidence of union. The average time to union was 5.2 months (range, two to ten months) after the arthrodesis. Eight knees that had a grossly purulent infection were treated with debridement, which was followed by the arthrodesis as a second-stage procedure; the other knees had a one-stage arthrodesis. Only one of the thirty-one knees that had had an infection before the arthrodesis had a recurrence after it. Arthrodesis with a short Huckstep nail provides immediate axial and rotational stability ...Continue Reading

References

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Citations

Apr 8, 2004·The Journal of Bone and Joint Surgery. American Volume·Janet D ConwayHari P Bezwada
Mar 8, 2006·The Journal of the American Academy of Orthopaedic Surgeons·James H MacDonaldAndrew A Freiberg
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Carl T TalmoRussell E Windsor
Apr 29, 2010·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·M SpinaA Giunti
Feb 2, 2017·The Open Orthopaedics Journal·Samer S S MahmoudOmar Sabri
Sep 1, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hans-Michael KlingerMike Herbert Baums
Jan 16, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Francesco IaconoMarcacci Maurilio
Apr 5, 2019·The Journal of Bone and Joint Surgery. American Volume·Asim M MakhdomS Robert Rozbruch
Oct 18, 2005·The Journal of Bone and Joint Surgery. American Volume·James M Leone, Arlen D Hanssen
Nov 20, 2002·Clinical Orthopaedics and Related Research·Jerome D Wiedel
Nov 2, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sahnghoon LeeMyung Chul Lee
May 10, 2006·International Orthopaedics·E PanagiotopoulosE Lambiris
Oct 3, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nicolas GallusserOlivier Borens
Jan 28, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Paul LichsteinHeinz Winkler
May 2, 2007·Clinical Orthopaedics and Related Research·Tad M MabryArlen D Hanssen
Nov 4, 2000·The Journal of Arthroplasty·S J IncavoD L Churchill
Sep 6, 2005·The Journal of Arthroplasty·John R Crockarell, Marc J Mihalko
Aug 31, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Anaïs LuyetOlivier Borens
May 23, 2008·The Knee·H S SomayajiG S E Dowd
Oct 31, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·R LetartreF Gougeon
Feb 18, 2004·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·R VolpiP Segal

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