scholarly journals Knee Arthrodesis with the Ilizarov External Fixator as Treatment for Septic Failure of Knee Arthroplasty

10.5772/27645 ◽  
2012 ◽  
Author(s):  
M. Spina ◽  
G. Gualdrini ◽  
M. Fosco ◽  
A. Giunti
Keyword(s):  
Knee Arthroplasty ◽  
External Fixator ◽  
Knee Arthrodesis ◽  
Ilizarov External Fixator

scholarly journals Salvage of infected total knee arthroplasty with Ilizarov external fixator

2011 ◽  
Vol 45 (6) ◽  
pp. 541 ◽  
Author(s):  
AdityaKrishna Mootha ◽  
Pareen Kantesaria ◽  
VenkataGurava Reddy ◽  
RamireddyVinodh Kumar ◽  
Chiranjeevi Thayi ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
External Fixator ◽  
Ilizarov External Fixator ◽  
Infected Total Knee Arthroplasty ◽  
Total Knee

Arthrodesis of the Infected Knee Joint with the Ilizarov External Fixator: an Analysis of 13 Cases

2019 ◽  
Vol 158 (01) ◽  
pp. 58-74
Author(s):  
Charlotte Reinke ◽  
Hinnerk Bäcker ◽  
Sebastian Lotzien ◽  
Thomas A. Schildhauer ◽  
Dominik Seybold ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Knee Joint ◽  
External Fixator ◽  
Bone Grafting ◽  
Iliac Crest ◽  
Salvage Procedure ◽  
Soft Tissue Infections ◽  
Knee Arthrodesis ◽  
Ilizarov External Fixator ◽  
Iliac Crest Bone Grafting

Abstract Background Knee joint infections with pronounced joint destruction, soft tissue and bone involvement are serious diseases in which not only the joint but also the entire extremity are directly endangered. What results can be achieved with the Ilizarov external fixator for septic knee arthrodesis? Patients and Methods Between 2005 and 2017, 13 patients (4 women and 9 men, mean age 46 years) with acute joint and concomitant bone and soft-tissue infections were treated with Ilizarov knee joint arthrodesis. In addition to demographic data, the time spent in the fixator, major and minor complications were retrospectively evaluated. Results The average time spent in the Ilizarov external fixator was 27 weeks (min. 13, max. 68). Arthrodesis and infection repair were primarily achieved in 12 out of 13 patients. In one patient, a delayed healing of the arthrodesis zone could be cured by iliac crest bone grafting, so that eventually a bony knee arthrodesis was achieved in all patients. Pin infects as a minor complication during the time spent in the fixator were common and could be treated by stab incision and antibiotics. Major complications occurred in 3 cases (2 femoral fractures peri-implant, 1 nonunion in the arthrodesis area), which were treated by dilatation of the Ilizarov external fixator and finally plate osteosynthesis or by resection of the pseudarthrosis and iliac crest bone grafting. Conclusion The knee joint arthrodesis with the Ilizarov external fixator is a salvage procedure for limb preservation in fulminant knee joint and concomitant soft tissue infections. The advantages lie in the possibility of osteosynthesis in the acute infection and/or chronic osteomyelitis and the direct full load capacity. Disadvantages are long and complicated treatment times in the fixator with limited patient comfort.

scholarly journals Application of the Ilizarov apparatus in knee arthrodesis as a treatment option after infected total knee arthroplasty

2015 ◽  
Vol 62 (1) ◽  
pp. 89-97
Author(s):  
Ivica Lalic ◽  
Vladimir Harhaji ◽  
Srdjan Ninkovic ◽  
Nemanja Gvozdenovic ◽  
Predrag Rasovic ◽  
...  
Keyword(s):  
Total Knee Arthroplasty ◽  
Knee Arthroplasty ◽  
External Fixator ◽  
High Rate ◽  
Knee Arthrodesis ◽  
Female Ratio ◽  
Infected Total Knee Arthroplasty ◽  
Circular External Fixator ◽  
Ilizarov Apparatus ◽  
Total Knee

A chronic periprosthetic infection with attendant failure of the knee extensor mechanism is one of the most disastrous outcome following total knee arthroplasty and knee arthrodesis may be the last possible option treatment with the exception lover limb amputated. The aim of this study is to represent the results to achieve knee arhrodesis in patients with chronically septic total knee arhroplasty. In our retrospective study we reviewed the clinical record of 27 patients who were treated with Ilizarov circular external fixator for this condition. Male to female ratio was 13:14. Main age of the patients was 62,3 years. We used Cierny-Mader classification for the clinical and pathoanatomical assessment. For the assessment of the bone defect we used Engh classification. Complete union we had in 22(81,4%) patients. Mean time for healing was 5,7 months, range (3-15). Mean residual limb shortness was 4,7 cm and mean follow-up was 21 months. We also had a five nonunion (18,6%) complications: three with septic intrarticular nonunion, two had intolerance to the Ilizarov apparatus, so we removed earlier. The Ilizarov circular external fixator provides us a high rate of bone healing and low risk of septic dissemination in patients with infected total knee arthroplasty (TKA).

Management of 30 infected nonunited tibial fractures by Ilizarov external fixator with acute shortening distraction technique with consideration of the causative organism

2017 ◽  
Vol 28 (4) ◽  
pp. 416-423
Author(s):  
Ahmed Samir Barakat ◽  
Ahmed Elguindy ◽  
Mohamed Elazab ◽  
Mohamed Hegazy ◽  
Kamal M.S. Abdel-Meguid ◽  
...  
Keyword(s):  
External Fixator ◽  
Tibial Fractures ◽  
Causative Organism ◽  
Ilizarov External Fixator ◽  
Acute Shortening
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