title: [Arthrodesis without bone fusion with an intramedullary modular nail for revision of infected total knee arthroplasty].
abstract: OBJECTIVE
  To evaluate the outcome of knee fixation without bone fusion using an intramedullary modular nail and interposed cement.
  
  
  METHODS
  Retrospective study of 29 infected total knee arthroplasties with prospective data collection and a mean follow-up of 4.2 years (3-5).
  
  
  RESULTS
  Complications included 2 recurrent infections, 1 peri-implant fracture, and 1 cortical erosion due to the tip of the femoral component. All of these were revised with successful results. The mean limb length discrepancy was 0.8 cm, with 24<1cm. Twenty-five patients reported no pain. The mean WOMAC-pain was 86.9, WOMAC-function 56.4, SF12-physical 45.1, and SF12-mental 53.7. Four patients needed a walking frame, and only two were dependent for daily activities.
  
  
  CONCLUSIONS
  The Endo-Model Link nail is an effective method for knee fixation that restores the anatomical alignment of the limb with adequate leg length.
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Alicante, España.
authors.forename: F A
authors.initials: FA
authors.lastname: Miralles-Muñoz
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Alicante, España. Electronic address: lizaur1@telefonica.net.
authors.forename: A
authors.initials: A
authors.lastname: Lizaur-Utrilla
authors.affiliation: Servicio de Cirugía Ortopédica, Hospital Universitario de Elda, Alicante, España.
authors.forename: C
authors.initials: C
authors.lastname: Manrique-Lipa
authors.affiliation: Departamento de Cirugía Ortopédica y Traumatología, Universidad Miguel Hernandez, Elche, Alicante, España.
authors.forename: F A
authors.initials: FA
authors.lastname: López-Prats
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001174:Arthrodesis / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001424:Bacterial Infections / Q000209:etiology* / Q000601:surgery*; D001858:Bone Nails; D005260:Female; D006801:Humans; D007720:Knee Prosthesis / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies
keywords: Arthrodesis; Artrodesis; Artroplastia total de rodilla; Enclavado intramedular; Intramedullary nailing; Total knee arthroplasty