Thermal necrosis after simultaneous tibial osteotomy and total knee arthroplasty using press-fit extension-stem.
One-staged tibial corrective osteotomy and total knee arthroplasty is a challenging but effective treatment for arthritic knees with extra-articular deformity. Although osteocutaneous thermal necrosis is accepted as a complication of intramedullary reamed nailing following long bone fractures, only 15 cases have been reported in the English literature at present. This report illustrates a rare case of thermal necrosis in a patient undergoing tibial corrective osteotomy coincident with long-stemmed total knee arthroplasty. Excessive reaming with a machine reamer is hypothesized as the cause of this serious complication. In this report, we highlight this rare but serious complication after long-stemmed total knee arthroplasty.
Department of Orthopaedic Surgery, Hyogo Rehabilitation Centre Center Hospital, 1070 Akebono-cho, Nishi-ku, Kobe 651-2181, Japan. wavedreamer17@yahoo.co.jp
Kazunari
K
Ishida
Nobuhiro
N
Tsumura
Koji
K
Takayama
Naomasa
N
Fukase
Atsushi
A
Kitagawa
Takaaki
T
Chin
Tetsuhiro
T
Iguchi
Tomoyuki
T
Matsumoto
Seiji
S
Kubo
Masahiro
M
Kurosaka
Ryosuke
R
Kuroda
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006358:Hot Temperature; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000601:surgery; D007720:Knee Prosthesis / Q000009:adverse effects; D008297:Male; D009336:Necrosis; D020370:Osteoarthritis, Knee / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000473:pathology / Q000601:surgery; D011877:Radionuclide Imaging; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery