title: Above knee amputation following total knee arthroplasty: when enough is enough.
abstract: In some cases, above knee amputation (AKA) for a chronically infected total knee arthroplasty is the only option. The purpose of this study was to assess patient satisfaction following AKA and to identify factors which may be indicative of successful outcome following AKA. A review was performed of 7 patients who underwent an AKA for a recurrent peri-prosthetic knee infection. Patient satisfaction was gauged through a modified questionnaire. All patients were satisfied with their AKA and 6 of 7 stated that they would have chosen an amputation earlier. Greater than 6 attempts at limb-salvage and failed gastrocnemius flap were identified by expert opinion as possible poor prognostic factors. Despite poor function, patients with chronically infected TKAs are satisfied following an AKA.
authors.affiliation: University of Toronto, Mount Sinai Hospital, Department of Orthopedics, Toronto, ON, Canada.
authors.forename: Vickas
authors.initials: V
authors.lastname: Khanna
authors.affiliation: University of Toronto, Mount Sinai Hospital, Department of Orthopedics, Toronto, ON, Canada.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Tushinski
authors.affiliation: MSK Program, Department of Rehabilitation, Mount Sinai Hospital, Toronto, ON, Canada.
authors.forename: Leslie J
authors.initials: LJ
authors.lastname: Soever
authors.affiliation: Department of Orthopedics, Mount Sinai Hospital, Toronto, ON, Canada.
authors.forename: Alex D
authors.initials: AD
authors.lastname: Vincent
authors.affiliation: University of Toronto, Division of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, ON, Canada.
authors.forename: David J
authors.initials: DJ
authors.lastname: Backstein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D006801:Humans; D007717:Knee / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D007720:Knee Prosthesis; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires
keywords: amputation; arthroplasty; infection; knee; satisfaction