One Stage Conversion of an Infected Fused Knee to Total Knee Replacement - A Surgical Challenge
Mukartihal Ravikumar, Daniel Kendoff *, Mustafa Citak, Stefan Luck, Thorsten Gehrke , Akos Zahar
Identifiers and Pagination:Year: 2013
First Page: 67
Last Page: 71
Publisher ID: TOORTHJ-7-67
Article History:Received Date: 18/9/2012
Revision Received Date: 17/1/2013
Acceptance Date: 17/1/2013
Electronic publication date: 5/3/2013
Collection year: 2013
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
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.