Knee arthrodesis with a press-fit modular intramedullary nail without bone-on-bone fusion after an infected revision TKA

The Knee
Francesco IaconoMaurilio Marcacci

Abstract

Knee arthrodesis can be an effective treatment after an infected revision Total Knee Arthroplasty (TKA). The main hypothesis of this study is that a two-stage arthrodesis of the knee using a press-fit, modular intramedullary nail and antibiotic loaded cement, to fill the residual gap between the bone surfaces, prevents an excessive limb shortening, providing satisfactory clinical and functional results even without direct bone-on-bone fusion. The study included 22 patients who underwent knee arthrodesis between 2004 and 2009 because of recurrent infection following revision-TKA (R-TKA). Clinical and functional evaluations were performed using the Visual Analogue Scale (VAS) and the Lequesne Algofunctional Score. A postoperative clinical and radiographical evaluation of the residual limb-length discrepancy was conducted by three independent observers. VAS and LAS results showed a significant improvement with respect to the preoperative condition. The mean leg length discrepancy was less than 1cm. There were three recurrent infections that needed further surgical treatment. This study demonstrated that reinfection after Revision of total knee Arthroplasty can be effectively treated with arthrodesis using a modular intramedullary ...Continue Reading

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Citations

Jan 16, 2014·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Francesco IaconoMarcacci Maurilio
Jun 14, 2014·Revista española de cirugía ortopédica y traumatología·F A Miralles-MuñozF A López-Prats
Aug 25, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·T AmouyelUNKNOWN French Hip and Knee Society (SFHG)
Apr 30, 2015·The Journal of Arthroplasty·William A JiranekGregory L Golladay
Apr 30, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·B LerouxS Diallo
Apr 5, 2019·The Journal of Bone and Joint Surgery. American Volume·Asim M MakhdomS Robert Rozbruch
Jan 4, 2013·Clinical Orthopaedics and Related Research·Danilo BruniMaurilio Marcacci
May 4, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Nicholas M BrownScott Sporer

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