Wichita fusion nail for patients with failed total knee arthroplasty and active infection.
In the study reported here, we retrospectively evaluated short-term results of knee arthrodesis using the Wichita fusion nail (WFN) in patients with active infection. Clinical examinations, x-rays, time to union, knee pain after fusion, and ambulatory status were compared in 7 patients who received the WFN. Mean fusion rate was 86%, mean time to fusion was 9.8 months, and mean complication rate was 57%. Complication rates were high, but clinical outcomes were acceptable, supporting use of WFN as a reasonable way to salvage failed total knee arthroplasty in patients with active infection.
Barsoum
Wael K
WK
Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
Hogg
Christopher
C
Krebs
Viktor
V
Klika
Alison K
AK
D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D019645:Arthroplasty, Replacement, Knee; D001858:Bone Nails; D005260:Female; D006801:Humans; D016268:Internal Fixators; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016348:Osseointegration; D016459:Prosthesis-Related Infections / Q000188:drug therapy / Q000601:surgery*; D020127:Recovery of Function; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000601:surgery*; D016896:Treatment Outcome