Treatment of nonunions about the knee utilizing custom total knee arthroplasty with press-fit intramedullary stems.
Juxta-articular nonunion about the knee is infrequent but may be a troublesome problem, especially if it is about a total knee arthroplasty or associated with an arthritic joint. This technique of total knee arthroplasty with an uncemented press-fit intramedullary rod and bone grafting achieved union in all nine nonunions about the knee. Radiographic review indicated all nonunions to be healed by an average of 2 months, with none taking longer than 6 months to heal. The average postoperative Hospital for Special Surgery knee score was 78 (range, 50-91), with 4 excellent, 4 good, and 1 poor result. This study demonstrated that this is a successful salvage procedure for juxta-articular nonunions in the face of either arthritis in the adjacent joint, severe articular incongruency, or an ipsilateral total knee arthroplasty.
Kress
K J
KJ
Orthopaedic and Sports Medicine Institute of Long Island, Rockville Centre, New York 11570.
Scuderi
G R
GR
Windsor
R E
RE
Insall
J N
JN
D016025:Bone Transplantation; D005260:Female; D005264:Femoral Fractures / Q000453:epidemiology / Q000601:surgery*; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing / Q000502:physiology; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013978:Tibial Fractures / Q000453:epidemiology / Q000601:surgery*; D013997:Time Factors