Management of posttraumatic extensive bone loss and osteomyelitis using a customized articulating knee spacer.

Authors:
Robert D Russell
Robert D Russell
University of Texas Southwestern Medical Center
Dallas | United States
Stephen J Incavo
Stephen J Incavo
Houston Methodist Hospital
Houston | United States
Michael Klebuc
Michael Klebuc
The Methodist Hospital
Houston | United States

Knee 2008 Aug 2;15(4):268-71. Epub 2008 Jun 2.

Baylor College of Medicine, Houston, TX, United States.

The combination of infection and extensive bone loss presents a challenging reconstructive situation for surgeons performing total knee arthroplasty (TKA). We describe the case of a patient that suffered a grade III open fracture of the tibial plateau and developed a recurrent infection which resulted in loss of the proximal 15 cm of the tibia. Our solution was interim use of custom-made articulating, antibiotic-impregnated spacers followed by a structural tibial allograft and hinged TKA. At 2-year follow-up the patient is infection-free and is able to ambulate without the use of support.

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http://dx.doi.org/10.1016/j.knee.2008.04.005DOI Listing

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August 2008
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