Alternatives to revision total knee arthroplasty

被引：27
|
作者：
Jones, R. E. [1 ]
Russell, R. D. [1 ]
Huo, M. H. [1 ]
机构：
[1] Univ Texas SW Med Ctr Dallas, Dept Orthopaed Surg, Dallas, TX 75243 USA
来源：
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2012年 / 94B卷 / 11期
关键词：
EXTERNAL FIXATION; INFECTED KNEE; ARTHRODESIS; REPLACEMENT; AMPUTATION; SALVAGE; REIMPLANTATION;
D O I：
10.1302/0301-620X.94B11.30620
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Most problems encountered in complex revision total knee arthroplasty can be managed with the wide range of implant systems currently available. Modular metaphyseal sleeves, metallic augments and cones provide stability even with significant bone loss. Hinged designs substitute for significant ligamentous deficiencies. Catastrophic failure that precludes successful reconstruction can be encountered. The alternatives to arthroplasty in such drastic situations include knee arthrodesis, resection arthroplasty and amputation. The relative indications for the selection of these alternatives are recurrent deep infection, immunocompromised host, and extensive non-reconstructible bone or soft-tissue defects.
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收藏
页码：137 / 140
页数：4
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