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J Knee Surg 2016; 29(06): 510-515
DOI: 10.1055/s-0035-1566738
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Novel Technique: Knee Arthrodesis Using Trabecular Metal Cones with Intramedullary Nailing and Intramedullary Autograft

Blake E. Peterson
1   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
,
Sonny Bal
1   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
,
Ajay Aggarwal
1   Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri
,
Brett D. Crist
2   Department of Orthopaedic Trauma, University of Missouri, Columbia, Missouri
› Author Affiliations
Further Information

Publication History

03 March 2015

20 September 2015

Publication Date:
09 November 2015 (online)

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Abstract

The failed total knee arthroplasty is a challenge to the surgeon and the patient. Infection, bone loss, and instability lead to a chronically painful and dysfunctional limb. Two-stage revision arthroplasty has been successful in clearing a majority of periprosthetic joint infections. However, there are many cases when the multiply revised and infected total knee arthroplasty cannot be salvaged. We report, a review of knee arthrodesis and a novel technique to manage significant bone loss. The use of trabecular metal cones and a long intramedullary nail can be used in concert with an autologous intramedullary bone graft to provide a stable, length restoring construct with sufficient biology to heal very large bone voids. With this technique we have successfully restored function and stability in the failed knee arthroplasty.

Keywords

knee arthrodesis - infection - total knee arthroplasty - multiple total knee revisions - trabecular metal cones
 

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