Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report

Knee arthrodesis is an alternative to amputation for treating recalcitrant septic non-union of the proximal tibia with bone loss, soft-tissue compromise, and knee-joint involvement. Nonetheless, arthrodesis is difficult to achieve if bone loss is massive, and the septic environment can result in fai...

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Bibliographic Details
Main Authors: Pablo S Corona, Francisco Soldado, Carles Amat, Xavier Flores
Format: Article
Language:English
Published: SAGE Publishing 2013-08-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949901302100226
Description
Summary:Knee arthrodesis is an alternative to amputation for treating recalcitrant septic non-union of the proximal tibia with bone loss, soft-tissue compromise, and knee-joint involvement. Nonetheless, arthrodesis is difficult to achieve if bone loss is massive, and the septic environment can result in failed bone fusion. We report on a 77-year-old man with massive bone loss secondary to recalcitrant septic non-union who underwent radical bone resection, followed by knee arthrodesis using a cemented modular intercalary megaprosthesis in conjunction with a microvascularised flap in 2 stages.
ISSN:2309-4990