Amputação após falha ou complicação de artroplastia total de joelho: incidência, etiologia e resultados funcionais

Evaluation of quality of life and walking ability among amputated patients and those who refused to undergo amputation following infection of total knee arthroplasty

“…The principal agents found were S. aureus in 75% and Pseudomonas aeruginosa in 62.5%. Other frequently occurring agents were Klebsiella pneumoniae, Serratia marcescens , and Morganella morganii , flora that are very similar to those found by Mozella et al 10…”

“…Pring et al 11 reported that only 30% of patients who underwent amputation were capable of walking regularly, and Isiklar et al 12 corroborated these findings, identifying 35% of their sample as ambulatory. In Mozella et al’s 10 case series, 44% of the amputees were able to walk with support. In our case series, only one (25%) of the patients (the youngest) was able to walk, but only with the aid of a walking frame.…”

“…6,9 In recent literature, the best index of walking ability after amputation by infection after knee arthroplasty was 44%, with most series being around 30%. 9–12…”

Resection arthroplasty after total knee arthroplasty septic failure a case report and literature review

“…At the end of the follow-up, 40% of the patients were able to walk with prosthesis, but only 22.8% were able were able to walk outside home the home. 25 Mozella et al 26 retrospectively evaluated 2,409 patients undergoing TKA at a tertiary referral center. The authors identified a prevalence of 0.41% of above the knee amputations due to TKA complications, with 81% of case related to refractory joint infection to other treatment methods.…”

“…After the average follow-up of 6.7 years, 56% of these patients were not able to walk with prosthesis, from being restricted to a wheelchair. 26 Sierra et al 26 evaluated 18,443 patients submitted to TKA, of these 0.14% (19 patients) were submitted to above the knee amputation after refractory infection in the joint. At At final follow-up, 14 of these became wheelchair users.…”