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The Journal of Bone and Joint Surgery, Vol 60, Issue 6 790-794, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc


JOURNAL CONTENTS

Arthrodesis in failed total knee replacement

WF Hagemann, GW Woods and HS Tullos

Compression arthrodesis can be used as a salvage procedure in failed total knee replacement. In fourteen patients so treated, the fusion failed in five. As regards the cause of failure, the most important factor was technical inadequacy of the arthrodesis procedure; that is, the required stable fixation and solid bone-to-bone contact. In procedures that we considered technically adequate, there was fusion in seven of the nine knees. The fusion seemed to be delayed in these patients, averaging 5.3 months (range, two to twelve months). Fixation with a double clamp seemed to be more effective than with a single clamp.
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