Patients with multiple failures of total knee arthroplasty (TKA) are challenging limb salvage cases. Twenty one patients over the last 10 years were referred to our service for knee fusion by arthroplasty surgeons who felt they were not candidates for revision TKA. Active infection was present in 76.2% and total bone loss averaged 6.6 cm. Lengthening was performed in 7/22 patients. Total time i...

We report on a 79-year-old woman who underwent salvage of the knee and lower leg using a Whichita Fusion Nail for knee arthrodesis, combined with a medial gastrocnemius muscle flap for a 3% contact burn that resulted in loss of the extensor mechanism. This provided an alternative to above-knee amputation when extensor mechanism reconstruction was not feasible.

Sports athletes easily get joint damage due to the high intensity of physical training and exertion. The treatment of joint injury caused by physical exercise is very important for competitive sports. Joint composition structure is complex and the knee joint is considered as an example in the full text and the application of CT imaging technology in the diagnosis and treatment of knee joint was...

BACKGROUND The aim of the study is evaluate the functional outcome, complications and general health in patients undergoing knee arthrodesis. PATIENTS AND METHODS Eighteen patients undergoing knee arthrodesis due to contraindication of primary or revision of a total knee arthroplasty (TKA). Anatomical arthrodesis was performed if there was a good contact of the two bone surfaces, whereas if i...

STUDY DESIGN Epidemiological study using national administrative data. OBJECTIVE To provide a complete analysis of national trends in spinal fusion from 1998 to 2008 and compare with trends in laminectomy, hip replacement, knee arthroplasty, percutaneous transluminal coronary angioplasty, and coronary artery bypass graft. SUMMARY OF BACKGROUND DATA Previous studies have reported a rapid inc...

We report a case of knee fusion after a failed total knee arthroplasty (TKA) with severe osteolysis including the epicondyle and ipsilateral total hip arthroplasty (THA) with long Wagner revision stem (Sulzer Orthopedics, Baar, Switzerland). The conventional devices for arthrodesis were unavailable in this case because of the long Wagner revision stem and poor bone stock. A connector was made b...

PURPOSE: The most feared complication of total knee arthroplasty (TKA) is periprosthetic infection (1–5% of cases) which leads to prosthetic failure and may result in knee fusion or even limb loss. The optimal role of a plastic surgeon in salvaging a compromised TKA remains unclear. We sought to elucidate factors associated with TKA salvage and principles of reconstruction that optimize outcomes.

PURPOSE: The most feared complication of total knee arthroplasty (TKA) is periprosthetic infection (1–5% of cases) which leads to prosthetic failure and may result in knee fusion or even limb loss. The optimal role of a plastic surgeon in salvaging a compromised TKA remains unclear. We sought to elucidate factors associated with TKA salvage and principles of reconstruction that optimize outcomes.

Arthrodesis of the knee is sometimes needed for failed total knee replacement, but fusion can be difficult to obtain. We describe a method of arthrodesis that uses the simple, inexpensive, Portsmouth external fixator. Bony union was obtained in all six patients treated with this technique. These results are compared with those obtained by other methods of arthrodesis.

Several methods for obtaining knee arthrodesis have been described in the literature and world; over, the commonest cause for arthrodesis is a failed arthroplasty. Less commonly, as in this series, post-infective or traumatic causes may also require a knee fusion wherein arthroplasty may not be indicated. We present salient advantages along with the radiological and functional outcome of twenty...