Knee arthrodesis in failed total knee arthroplasty with severe osteolysis and ipsilateral long-stem total hip arthroplasty.
We report a case of knee fusion after a failed total knee arthroplasty (TKA) with severe osteolysis including the epicondyle and ipsilateral total hip arthroplasty (THA) with long Wagner revision stem (Sulzer Orthopedics, Baar, Switzerland). The conventional devices for arthrodesis were unavailable in this case because of the long Wagner revision stem and poor bone stock. A connector was made between the long Wagner revision stem and an intramedullary nail (IM nail; Solco, Seoul, Korea). The custom-made connector was coupled with a femoral stem by cylindrical taper fit with additional cement augmentation and an intramedullary nail by screws. Osseous fusion was achieved without pain or instability.
Department of Orthopaedic Surgery, Gil Medical Center, Gachon University, Incheon, South Korea.
Jae Ang
JA
Sim
Beom Koo
BK
Lee
Ji Hoon
JH
Kwak
Sung Hoon
SH
Moon
D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D019644:Arthroplasty, Replacement, Hip; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis; D010014:Osteolysis / Q000175:diagnosis* / Q000601:surgery*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation