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The Journal of Bone and Joint Surgery, Vol 65, Issue 8 1081-1086, Copyright © 1983 by Journal of Bone and Joint Surgery, Inc
Reimplantation for the salvage of an infected total knee arthroplasty
JA Rand and RS Bryan
We retrospectively reviewed the results in fourteen patients in whom
salvage of an acutely infected total knee arthroplasty was attempted
between 1970 and 1981 by the implantation of a new prosthesis within two
weeks of removal of the infected one. Salvage was successful in six of the
seven patients with a low-virulence infection but in only two of the seven
patients with a high-virulence infection. Of the eight patients for whom
the result was a functioning prosthesis, two had significant restriction of
motion and one had moderate pain. If these three patients are eliminated
from analysis, the over-all success rate is only 35 per cent (five of
fourteen patients). We concluded that the implantation of another
prosthesis for the treatment of infection of a total knee arthroplasty
should be done with caution, and preferably when the infection has been
caused by a low-grade organism and after a waiting period of longer than
two weeks.
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