title: Arthroscopic-assisted Arthrodesis of the Knee Joint With the Ilizarov Technique: A Case Report and Literature Review.
abstract: Arthrodesis of the knee joint is a mainly a salvage surgical procedure performed in cases of infected total knee arthroplasty, tumor, failed knee arthroplasty or posttraumatic complication.The authors report the case of 18-year-old male with posttraumatic complication of left knee because of motorbike accident 1 year before. He was treated immediately after the injury in the local Department of Orthopaedics and Traumatology. The examination in the day of admission to our department revealed deformation of the left knee, massive scar tissue adhesions to the proximal tibial bone and multidirectional instability of the knee. The plain radiographs showed complete lack of lateral compartment of the knee joint and patella. The patient complained of severe instability and pain of the knee and a consecutive loss of supporting function of his left limb. The authors decided to perform an arthroscopic-assisted fusion of the knee with Ilizarov external fixator because of massive scar tissue in the knee region and the prior knee infection.In the final follow-up after 54 months a complete bone fusion, good functional and clinical outcome were obtained.This case provides a significant contribution to the development and application of low-invasive techniques in large and extensive surgical procedures in orthopedics and traumatology. Moreover, in this case fixation of knee joint was crucial for providing good conditions for the regeneration of damaged peroneal nerve.
authors.affiliation: From the Department of Arthroscopy, Minimally Invasive Surgery and Sports Traumatology, Medical University of Lodz, Poland (MW, JF); Department of Neurosurgery and Peripheral Nerve Surgery, Medical University of Lodz (MR); Department of Pediatric Orthopaedy and Traumatology, Polish Mother's Memorial Hospital Research Institute, Lodz, Poland (KN).
authors.forename: Michal
authors.initials: M
authors.lastname: Waszczykowski
authors.forename: Kryspin
authors.initials: K
authors.lastname: Niedzielski
authors.forename: Maciej
authors.initials: M
authors.lastname: Radek
authors.forename: Jaroslaw
authors.initials: J
authors.lastname: Fabis
mesh_terms: D000293:Adolescent; D001174:Arthrodesis / Q000379:methods*; D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D018889:Ilizarov Technique; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography
references.citation: Arthroscopy. 1991;7(2):237-40
references.pmid: 2069637
references.citation: J Bone Joint Surg Br. 2001 Jan;83(1):50-4
references.pmid: 11245538
references.citation: Ortop Travmatol Protez. 1972 Nov;33(11):10-4
references.pmid: 4645430
references.citation: J Bone Joint Surg Am. 1983 Jan;65(1):128-34
references.pmid: 6336760
references.citation: Clin Orthop Relat Res. 2006 Oct;451:113-20
references.pmid: 16721347
references.citation: Clin Orthop Relat Res. 1989 Nov;(248):87-92
references.pmid: 2805501
references.citation: Knee. 2001 Jun;8(2):135-8
references.pmid: 11337240
references.citation: Orthopedics. 2001 Jan;24(1):33-6
references.pmid: 11199348
references.citation: J Trauma. 2009 Dec;67(6):E213-9
references.pmid: 19065119
references.citation: J Bone Joint Surg Am. 1990 Mar;72(3):433-42
references.pmid: 2312541
references.citation: J Bone Joint Surg Am. 1991 Aug;73(7):1020-4
references.pmid: 1874763
references.citation: Clin Orthop Relat Res. 1995 Dec;(321):138-44
references.pmid: 7497659
references.citation: Orthopade. 1987 Aug;16(4):301-9
references.pmid: 3658413
references.citation: J Knee Surg. 2006 Apr;19(2):99-104
references.pmid: 16642885
references.citation: Arch Orthop Trauma Surg. 2012 Aug;132(8):1183-9
references.pmid: 22581350
references.citation: J Orthop Traumatol. 2010 Jun;11(2):81-8
references.pmid: 20425133
references.citation: Rev Chir Orthop Reparatrice Appar Mot. 2004 Feb;90(1):65-70
references.pmid: 14968005
references.citation: J Bone Joint Surg Am. 1995 Jun;77(6):835-46
references.pmid: 7782356
references.citation: Clin Orthop Relat Res. 2001 Jan;(382):168-78
references.pmid: 11153984
references.citation: Clin Orthop Relat Res. 2001 Aug;(389):143-9
references.pmid: 11501802
references.citation: J Bone Joint Surg Am. 1998 Mar;80(3):380-8
references.pmid: 9531206