Above Knee Amputation Following Total Knee Arthroplasty: When Enough Is Enough

被引：32

作者：

Khanna, Vickas ^{[1
]}

Tushinski, Daniel M. ^{[1
]}

Soever, Leslie J. ^{[2
]}

Vincent, Alex D. ^{[3
]}

Backstein, David J. ^{[4
]}

机构：

[1] Univ Toronto, Mt Sinai Hosp, Dept Orthoped, Toronto, ON M5G 1X5, Canada

[2] Mt Sinai Hosp, Dept Rehabil, MSK Program, Toronto, ON M5G 1X5, Canada

[3] Mt Sinai Hosp, Dept Orthoped, Toronto, ON M5G 1X5, Canada

[4] Univ Toronto, Mt Sinai Hosp, Div Orthopaed Surg, Toronto, ON M5G 1X5, Canada

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期

关键词：

knee; arthroplasty; infection; amputation; satisfaction; LOWER-EXTREMITY SARCOMA; SALVAGE; ALTERNATIVES; INFECTION;

D O I：

10.1016/j.arth.2014.11.014

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：

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. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：658 / 662

页数：5

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