Knee arthrodesis using a unilateral external fixator for the treatment of infectious sequelae

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dc.contributor.authorEralp, Levent
dc.contributor.authorKocaoglu, Mehmet
dc.contributor.authorTuncay, Ibrahim
dc.contributor.authorBilen, F. Erkal
dc.contributor.authorSamir, Shady Elbeshry
dc.date.accessioned2020-03-26T17:27:09Z
dc.date.available2020-03-26T17:27:09Z
dc.date.issued2008
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: We evaluated the results of arthrodesis using a monolateral external fixator for the treatment of septic sequelae of the knee joint. Methods: Eleven patients (4 males, 7 females; mean age 60 years range 29 to 75 years) underwent arthrodesis using a monolateral external fixator. Indications for arthrodesis were infected total knee prosthesis (n=6), septic arthritis sequelae (n=4,), and infected distal femoral tumor prosthesis (n=1). Eight patients had active infection, of these, seven patients initially underwent complete clinical and laboratory eradication of infection with debridement, application of antibiotic-impregnated cement spacer (n=6), and parenteral antibiotics. Resection guides of total knee arthroplasty were used to create wide bleeding femoral and tibial bone surfaces. Biplanar or uniplanar monolateral external fixation was applied for a mean of eight months (range 5 to 12 months). The mean follow-up was 28 months (range 7 to 69 months). Complications were evaluated according to the Paley's classification. Results: Fusion was achieved in all the patients. There were no recurrent infections. No remarkable shortening developed following the procedure. All the patients could walk without walking aids, except for one patient who further required lengthening for marked shortening due to previous wide tumor resection. Shortening was 3 cm in one patient with infected total knee prosthesis, while it ranged from 1 cm to 2 cm (mean 1.4 cm) in the remaining patients. Pin tract infections were seen in five patients, all of which were successfully treated with oral antibiotics and local wound care. Conclusion: Knee arthrodesis using a monolateral external fixator is associated with a high fusion rate and a low complication rate, and provides a more comfortable treatment option compared to a circular external fixator.en_US
dc.identifier.endpage89en_US
dc.identifier.issn1017-995Xen_US
dc.identifier.issue2en_US
dc.identifier.pmid18552528en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage84en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/22488
dc.identifier.volume42en_US
dc.identifier.wosWOS:000258834800004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGYen_US
dc.relation.ispartofACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectarthrodesis/methodsen_US
dc.subjectexternal fixatorsen_US
dc.subjectknee joint/surgeryen_US
dc.subjectprosthesis-related infections/surgeryen_US
dc.titleKnee arthrodesis using a unilateral external fixator for the treatment of infectious sequelaeen_US
dc.typeArticleen_US

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