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RESEARCH ARTICLE

One Stage Conversion of an Infected Fused Knee to Total Knee Replacement - A Surgical Challenge

The Open Orthopaedics Journal 5 Mar 2013 RESEARCH ARTICLE DOI: 10.2174/1874325001307010067

Abstract

Background and Purpose:

Two-stage revision arthroplasty is a common technique for the treatment of infected total knee replacement. Few reports have addressed the conversion of a fused knee into a total knee replacement. However, there is no case reported of converting an infected fused knee into a hinge knee using a one-stage procedure.

Methods:

We report on a 51-year old male patient with an infected fused knee after multiple surgeries.

Results and Interpretation:

A one-stage conversion of septic fused knee into total knee arthroplasty by a rotational hinge prosthesis was performed. The case highlights that with profound preoperative assessment, meticulous surgical technique, combined antibiotic treatment and the right implant, one-stage revision in a surgical challenge may have a role as a treatment option with good functional outcome.

Keywords: Infection, knee arthrodesis, one-stage revision, total knee arthroplasty, two-stage revision.
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