Knee arthrodesis using circular external fixator in the treatment of infected knee prosthesis: case report


Gunes T., ŞEN C., Erdem M.

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, cilt.13, sa.4, ss.329-334, 2005 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 4
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1007/s00167-004-0528-2
  • Dergi Adı: KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.329-334
  • Anahtar Kelimeler: infection, knee prosthesis, arthrodesis, circular external fixator, PATELLAR DISLOCATION, INTRAMEDULLARY NAIL, ILIZAROV METHOD, ARTHROPLASTY, SALVAGE, REIMPLANTATION, REPLACEMENT, MANAGEMENT
  • İstanbul Üniversitesi Adresli: Hayır

Özet

A patient (68 years old and male) underwent total knee replacement because of arthrosis, but he subsequently had infection due to a wound problem. Although he underwent early debridement, antibiotherapy, and soft-tissue operation, treatment failed because of improper soft-tissue coverage and progression of the infection. Therefore, the prosthesis was removed and a spacer with antibiotic was placed, in order to provide soft-tissue coverage and to eradicate infection. After 2 months, the patient underwent knee arthrodesis using a circular external fixator to achieve a stable lower extremity and to facilitate return to activities of daily living. We obtained knee fusion at 4 months without any requirement for secondary procedure of soft tissue and bone graft. There was no major complication. Arthrodesis with circular external fixator is a reliable and successive method that should be preferred for the treatment of infected knee replacement.