Knee arthrodesis for limb salvage with an intramedullary coupled nail

Senior, Colin; Assunção, Ruy E. da; Barlow, I.W.

doi:10.1007/s00402-007-0386-8

Cited by 26 publications

(11 citation statements)

References 18 publications

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“…Although external fixation devices, for example, have the benefit of a shorter operation time, they are associated with various complications [24], such as recurring pin infection and pin loosening, malunion, and the necessity of a removal of the fixator afterwards [6,20,26].…”

Section: Discussionmentioning

confidence: 99%

Bridging knee arthrodesis for limb salvage using an intramedullary cemented nail: a retrospective outcome analysis of a case series

Neuerburg

Bieger

Jung

et al. 2012

Arch Orthop Trauma Surg

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Section: Discussionmentioning

confidence: 99%

Bridging knee arthrodesis for limb salvage using an intramedullary cemented nail: a retrospective outcome analysis of a case series

Neuerburg

Bieger

Jung

et al. 2012

Arch Orthop Trauma Surg

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“…Although success rates of 80% to 100% have been reported after primary, biologic arthrodesis in patients without prior TKA [9,14,19,30,31,37,44], the success rate of arthrodesis performed in patients with an infection at the site of a TKA has been reported to be much lower [8]. However better results in terms of complication rates have been reported using metal implants than biologic reconstruction [2,8,9,11,13,23,33,42,45,47].Whereas Gosheger et al reported no infections in three arthrodeses with the MUTARS 1 implant [16] and Bartlett et al reported one infection in 10 Stanmore implants [3], there were nine infections in our 31 patients. This finding might be because the mean followup for our series was substantially longer at 9.5 years compared with the other series and of our infections were late infections.…”

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confidence: 99%

Is There a Role for Knee Arthrodesis With Modular Endoprostheses for Tumor and Revision of Failed Endoprostheses?

Angelini

Henderson

Trovarelli

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Knee arthrodeses are performed to treat infection after arthroplasty and tumors requiring extensive soft tissue resection. Many techniques have been described, but most have important disadvantages. Currently, endoprosthetic arthrodesis implants are available, but little is known about them. Questions/purposes Our objective was to analyze a series of knee arthrodeses with a modular prosthetic system to evaluate (1) survivorship of the implant, (2) complications, (3) whether survivorship differed between arthrodeses done for primary tumor resection and revision reconstructions, and (4) whether survivorship differed based on the presence of previous infection or the use of a gastrocnemius flap. Methods We present 32 patients with modular knee arthrodeses; arthrodeses were performed in 25 patients with tumors and in seven patients without tumors. There were 14 implants done at the time of tumor resection and 18 for revision of failed implants. Survivorship and complications were analyzed with Kaplan-Meier curves. Log-rank test was used for comparison between primary and revision implants, not infected and previously infected implants, and use or nonuse of a gastrocnemius flap.

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“…11 Furthermore, dual-plane and circular external fixators provide good stability in case of an infected operated joint.…”

Section: Resultsmentioning

confidence: 99%

Knee Arthrodesis Using the Wichita Fixation Rod

Vil¹,

Mahieu²,

Almqvist³

et al. 2010

Techniques in Knee Surgery

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For patients with a failed total knee replacement that is unsalvageable, only few treatment options remain. Knee arthrodesis is a valuable alternative to amputation in these cases. Several fusion techniques have been described, including external fixation, plate and screw osteosynthesis, and intramedullary rods. The Wichita fusion nail is an intramedullary rod that allows compression at the arthrodesis site. Furthermore, only 1 surgical exposure is required, and early weight bearing is allowed. This article describes in detail the technique used for implantation of the Wichita fusion nail and discusses the indications, results, and complications.

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Knee arthrodesis for limb salvage with an intramedullary coupled nail

Abstract: We have found that the Mayday nail offers a straightforward, reproducible surgical option for difficult salvage surgery. Good results have been obtained in the majority of cases, avoiding the devastating consequences of above knee amputation.

Cited by 26 publications

References 18 publications

Bridging knee arthrodesis for limb salvage using an intramedullary cemented nail: a retrospective outcome analysis of a case series

Bridging knee arthrodesis for limb salvage using an intramedullary cemented nail: a retrospective outcome analysis of a case series

Is There a Role for Knee Arthrodesis With Modular Endoprostheses for Tumor and Revision of Failed Endoprostheses?

Knee Arthrodesis Using the Wichita Fixation Rod

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