Total knee arthroplasty following intramedullary tibial nailing

Knee Surgery & Related Research
Evan J SmithChristopher M Melnic

Abstract

Total knee arthroplasty (TKA) in the setting of previous periarticular hardware increases resource utilization, readmissions, complications, and revision rates. Despite the frequency of intramedullary nail (IMN) fixation for tibial fractures, little guidance exists on the management of these patients and no series have reported on outcomes of patients undergoing TKA in the setting of a retained or removed IMN. This is a retrospective case series of patients who underwent TKA after IMN fixation of tibial fractures. Patient and case data, including need for hardware removal, staged vs non-staged procedures, operative time, and need for revision implants, were recorded. Postoperative data, including complications and revision, were recorded. Oxford Knee Score (OKS) was performed at follow-up. Nine patients were identified consisting of eight women and one man. Follow-up ranged from 0.8-13 years. Non-staged removal of the intramedullary hardware occurred in three cases that had increased operative lengths recorded. There were no complications related to wound healing or infection. No patients required revision. Two of the three patients who underwent non-staged TKA developed arthrofibrosis requiring manipulation. OKS scores in pati...Continue Reading

References

Dec 30, 1999·The Journal of Arthroplasty·J H LonnerJ M Siliski
Nov 9, 2002·The Knee·Elias C PapadopoulosDavid G Lewallen
Jul 17, 2012·The Knee·Alfonso ManzottiNorberto Confalonieri
Mar 22, 2015·The Journal of Arthroplasty·Alejandro Lizaur-UtrillaFernando A Lopez-Prats
Mar 31, 2015·The Bone & Joint Journal·C E H ScottJ F Keating
Sep 25, 2017·The Journal of Arthroplasty·David H GeRan Schwarzkopf
Mar 3, 2019·The Journal of Arthroplasty·Michael A BergenThorsten M Seyler

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