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Temporary Resection-arthrodesis of the Knee Using an Intramedullary Rod and Bone Cement

Overview
Journal Int Orthop
Specialty Orthopedics
Date 1989 Jan 1
PMID 2599701
Citations 9
Authors
R Capanna
R Biagini
P Ruggieri
G Bettelli
R Casadei
M Campanacci
Affiliations
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Abstract

A temporary arthrodesis of the knee, using an intramedullary Küntscher rod and bone cement, was carried out in 76 patients after resection of tumours of the distal femur or proximal tibia. In contrast to primary arthrodesis with bone grafting, this procedure allows the patient to bear weight on a stable limb a few days after operation, reduces the risk of infection and avoids the negative effect of chemotherapy on graft incorporation. In 12 cases (16%) the implant failed mechanically by fracture, or by bending or migration of the rod, at from 13 to 54 months after operation. Deep infection occurred in 11 patients (14%). A second reconstruction was carried out in 14 patients, 10 using Kotz prostheses and 4 arthrodeses with bone grafting. The operation we describe has advantages for patients with high grade tumours which require chemotherapy and resection-arthrodesis of the knee joint.

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Knee Arthrodesis with a Modular Silver-Coated Endoprosthesis for Infected Total Knee Arthroplasty with Extensive Bone Loss: A Retrospective Case-Series Study.

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Wide resection and reconstruction in a low resource area, cemented nail technique knee arthrodesis; a report of case and surgical technique.

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A Modified Technique for Artificial Fusion in Unreconstructable Revision Total Knee Arthroplasty.

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Ten-Year Follow-Up of Desarthrodesis of the Knee Joint 41 Years after Original Arthrodesis for a Bone Tumor.

Abdelaal A, Yamamoto N, Hayashi K, Takeuchi A, Miwa S, Inatani H Case Rep Orthop. 2015; 2015:308127.

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