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The Journal of Bone and Joint Surgery (American) 85:S58-S62 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Salvage Procedures for Failed Total Knee Arthroplasty

Michael J. Christie, MD, David K. DeBoer, MD, David A. McQueen, MD, Francis W. Cooke, PhD and D. L. Hahn, MS

Corresponding author: Michael J. Christie, MD
Southern Joint Replacement Institute, 2021 Church Street, Suite 104, Nashville, TN 37203 E-mail address: research@sjri.com

In support of their research or preparation of this manuscript, one or more of the authors received grants or outside funding from Implex Corporation, Allendale, New Jersey, and Stryker Howmedica Osteonics. None of the authors received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. A commercial entity (Implex Corporation, Allendale, New Jersey, and Stryker Howmedica Osteonics) paid or directed, or agreed to pay or direct, benefits to a research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The first 150 words of the full text of this article appear below.


   Introduction
 
Revision total knee arthroplasty for aseptic loosening or following infection can pose formidable challenges to the reconstructive surgeon. In some cases, the patient will undergo a series of operations, each resulting in ever-increasing bone loss. In extreme circumstances, the end result may be amputation, arthrodesis, or permanent resection arthroplasty. Isiklar et al. 1, in a study of amputation following total knee arthroplasty, found that patients had undergone an average of six operative procedures prior to having an amputation. In a review of patients who had a reinfection following reimplantation for an infection at the site of a total knee arthroplasty, Hanssen et al. 2 found that patients had undergone an average of thirteen operative procedures.

Although amputation or permanent resection arthroplasty results in a poor outcome that can be avoided in most patients, situations in which these options should be considered include life-threatening infection, persistent infection, irreparable soft-tissue deficiency, severe bone . . . [Full Text of this Article]


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