Thermal damage and tracker-pin track infection in computer-navigated total knee arthroplasty.
Choice of pins, drills, and drilling technique can result in heat generation leading to thermal necrosis of bone. This has been reported frequently in internal as well as in external fixation. This publication is the first report of a patient having osteomyelitis of the proximal tibia due to thermal necrosis following tracker pin placement in computer-navigated total knee arthroplasty.
Department of Orthopaedic Surgery, Southland Hospital,Invercargill, New Zealand.
Elias T
ET
Berning
Russell M
RM
Fowler
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails / Q000382:microbiology*; D005436:Floxacillin / Q000627:therapeutic use; D006358:Hot Temperature / Q000009:adverse effects*; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery; D007720:Knee Prosthesis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010019:Osteomyelitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D016459:Prosthesis-Related Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011859:Radiography; D012293:Rifampin / Q000627:therapeutic use; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013977:Tibia / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D005436:Floxacillin; D012293:Rifampin