The treatment of recurrent chronic infected knee arthroplasty with a 2-stage procedure.
We report the case of a patient with recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction and massive bone loss that was successfully treated with a 2-stage procedure-resection arthroplasty with insertion of an antibiotic-impregnated cement rod-spacer and systemic antibiotics and then a resection arthrodesis of the knee with the use of an intercalary allograft fixed with a long intramedullary nail. This technique is a viable option for the treatment of recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction, massive bone loss, and severe instability.
Antoci
Valentin
V
Deming Orthopedic Services, Mimbres Memorial Hospital, Deming, New Mexico 88030, USA.
Phillips
Matthew J
MJ
Antoci
Valentin
V
Krackow
Kenneth A
KA
D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D001174:Arthrodesis / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D001843:Bone Cements; D001858:Bone Nails; D016503:Drug Delivery Systems / Q000379:methods; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis / Q000382:microbiology*; D008297:Male; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D011859:Radiography; D012008:Recurrence; D012086:Reoperation / Q000379:methods
D000900:Anti-Bacterial Agents; D001843:Bone Cements