Document Detail


Knee arthrodesis with Ilizarov's bone transport method for large infected periarticular defects: a report of three cases.
MedLine Citation:
PMID:  19065119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Large infected bone defects created by failed arthrodesis, tumoral resection, or posttrauma around the knee poses a great challenge to orthopedic surgeon. If prosthetic replacement has a high chance of failure; a knee arthrodesis can be considered for management. Three consecutive patients, treated between 2001 and 2003 for bone loss after tumor resection, failed knee arthrodesis and infected posttraumatic nonreconstructable knee joint were evaluated. After implant removal, debridement and irrigation, Ilizarov frame was applied for a knee arthrodesis with segmental bone transport through both femoral and tibial osteotomies. A second operation for the docking site refreshment was performed at the end of bone transport to enhance union. In all patients, a successful knee arthrodesis and acceptable alignment were achieved. Mean amount of bone transport was 173.3 mm (range, 110-220 mm). Average external fixator time was 10.1 month (range, 7.5-15 months) and average healing index was 18.5 d/cm (range, 10.2-23.6 d/cm). Equinovarus deformity occurred during treatment in two patients and was treated successfully with posteromedial release. Mean follow-up was 33.6 months after frame removal (range, 25-39 months). Neither had recurrence of pain and infection. We think knee arthrodesis with bone transport is an option to manage large infected bone defects that were not amenable for prosthetic replacement.
Authors:
Hakan Kinik
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  67     ISSN:  1529-8809     ISO Abbreviation:  J Trauma     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E213-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics, Ankara University School of Medicine, Ankara, Turkey. kinik@dialup.ankara.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthrodesis / adverse effects*
Casts, Surgical
Device Removal
Femoral Neoplasms / surgery
Humans
Ilizarov Technique*
Knee Prosthesis / adverse effects*
Male
Osteosarcoma / surgery
Osteotomy
Prosthesis-Related Infections / surgery*
Surgical Wound Infection / surgery*
Treatment Failure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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