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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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
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author Pablo S Corona
Francisco Soldado
Carles Amat
Xavier Flores
author_facet Pablo S Corona
Francisco Soldado
Carles Amat
Xavier Flores
author_sort Pablo S Corona
collection DOAJ
description 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.
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spelling doaj.art-fb5034cd771442edb2ec8ab82b04a3bf2022-12-22T00:36:44ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902013-08-012110.1177/230949901302100226Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case ReportPablo S Corona0Francisco Soldado1Carles Amat2Xavier Flores3 Reconstruction and Septic Division, Department of Orthopedic Surgery, Hospital Universitario Vall d'Hebron, Universidad Autonoma de Barcelona, Barcelona, Spain Pediatric Surgery and Microsurgery Division, Department of Orthopedic Surgery, Hospital Universitario Vall d'Hebron, Barcelona, Spain Reconstruction and Septic Division, Department of Orthopedic Surgery, Hospital Universitario Vall d'Hebron, Universidad Autonoma de Barcelona, Barcelona, Spain Reconstruction and Septic Division, Department of Orthopedic Surgery, Hospital Universitario Vall d'Hebron, Universidad Autonoma de Barcelona, Barcelona, SpainKnee 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.https://doi.org/10.1177/230949901302100226
spellingShingle Pablo S Corona
Francisco Soldado
Carles Amat
Xavier Flores
Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
Journal of Orthopaedic Surgery
title Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
title_full Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
title_fullStr Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
title_full_unstemmed Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
title_short Two-Stage Knee Arthrodesis Using a Cemented Modular Tumour Replacement System for Recalcitrant Septic Proximal Tibial Non-Union: A Case Report
title_sort two stage knee arthrodesis using a cemented modular tumour replacement system for recalcitrant septic proximal tibial non union a case report
url https://doi.org/10.1177/230949901302100226
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