Success of Different Knee Arthrodesis Techniques After Failed Total Knee Arthroplasty: Is There a Preferred Technique?

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• 作者：Ran Schwarzkopf ; MD ; MSc^a ; ¹ ; Timothy L. Kahn ; BA^a ; ¹ ; Julian Succar ; MD^b ; John E. Ready ; MD^b
• 关键词：arthrodesis ; failed total knee arthroplasty ; arthrodesis techniques ; arthrodesis outcomes ; factors in arthrodesis success
• 刊名：The Journal of Arthroplasty
• 出版年：May 2014
• 年：2014
• 卷：29
• 期：5
• 页码：982-988
• 全文大小：412 K

文摘

Arthrodesis is a widely accepted treatment for failed total knee arthroplasty when further revision is contraindicated. In this study, we retrospectively review the pre-operative characteristics, operation techniques, treatment plans, and eventual outcomes in 42 consecutive patients (43 knees) who underwent knee arthrodesis at a single institution. Femorotibial fusion was achieved in 30 cases (75.0%). No cases of implant failure were recorded. Post-operative complications occurred in 20 cases (46.5%). Repeat arthrodesis was performed in 4 cases, and 2 patients eventually required above-the-knee amputation. Comparing the cases with successful vs. unsuccessful outcomes, there was a significant difference in days until hospital discharge following arthrodesis (P = .026), mean erythrocyte sedimentation rate prior to arthrodesis (P = .012), and the proportion of patients with post-operative wound complications (P = .021).