title: Three-step sequential management for knee arthroplasty after severe ballistic injury: Two cases.
abstract: Management of knee bone loss after gunshot trauma requires a multidisciplinary approach. Two cases of knee arthroplasty after devastating ballistic trauma are reported. Treatment comprised several steps: sampling, bone resection, reinforced cement spacer, latent sepsis control, and prosthetic reconstruction. The patients showed no neurovascular disorder and had a functioning extensor mechanism. At follow-up of at least 2 years, results were satisfactory, with return to unaided walking and mean International Knee Society (IKS) score improved from 18 to 59 points. In light of these observations, knee reconstruction arthroplasty using a sequential strategy can provide satisfactory functional outcome after severe ballistic trauma.
authors.affiliation: Centre Albert-Trillat, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France.
authors.forename: Y
authors.initials: Y
authors.lastname: Herry
authors.affiliation: Service de chirurgie plastique, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; Centre de référence des infections ostéo-articulaires complexes Rhône Alpes Auvergne, hospices civils de Lyon, 69004 Lyon, France.
authors.forename: F
authors.initials: F
authors.lastname: Boucher
authors.affiliation: Centre Albert-Trillat, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; Centre de référence des infections ostéo-articulaires complexes Rhône Alpes Auvergne, hospices civils de Lyon, 69004 Lyon, France.
authors.forename: P
authors.initials: P
authors.lastname: Neyret
authors.affiliation: Service de maladie infectieuse, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; Centre de référence des infections ostéo-articulaires complexes Rhône Alpes Auvergne, hospices civils de Lyon, 69004 Lyon, France.
authors.forename: T
authors.initials: T
authors.lastname: Ferry
authors.affiliation: Centre Albert-Trillat, CHU Lyon Croix-Rousse, hospices civils de Lyon, 69004 Lyon, France; Centre de référence des infections ostéo-articulaires complexes Rhône Alpes Auvergne, hospices civils de Lyon, 69004 Lyon, France. Electronic address: sebastien.lustig@chu-lyon.fr.
authors.forename: S
authors.initials: S
authors.lastname: Lustig
mesh_terms: D019645:Arthroplasty, Replacement, Knee; D016267:External Fixators; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010019:Osteomyelitis / Q000601:surgery; D007507:Therapeutic Irrigation; D014948:Wounds, Gunshot / Q000601:surgery*
keywords: Arthroplasty; Ballistics; Gunshot traumatism; Knee