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The Journal of Bone and Joint Surgery 80:453 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Samuel J. Chmell, M.D., Julian S. Arroyo, M.D., Kevin L. Garvin, M.D. and James R. Neff, M.D.

TO THE EDITOR:

In "Arthrodesis of the Knee with a Modular Titanium Intramedullary Nail" (79-A: 26–35, Jan. 1997), Arroyo et al. described a mixed group of twenty-one patients, some of whom had a failed total knee arthroplasty and some of whom had a tumor; all were managed with a modular titanium intramedullary nail to aid in achieving fusion of the knee. The rate of complications was high (38 per cent), with three noteworthy peroneal nerve palsies.

I would like to point out the following.

1. At least one other study in the literature1, which was not cited, demonstrated a markedly lower rate of complications.

2. Insertion of an intramedullary rod in . . . [Full Text of this Article]


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