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Knee arthrodesis after infected tumor mega prosthesis of the knee using an intramedullary nail for callus distraction.

作者信息

Kühne C A, Taeger G, Nast-Kolb D, Ruchholtz S

机构信息

Department of Traumatology, University Hospital Essen, Hufelandstrasse 55, 45122 Essen, Germany.

出版信息

Langenbecks Arch Surg. 2003 Mar;388(1):56-9. doi: 10.1007/s00423-003-0360-z. Epub 2003 Mar 21.

DOI:10.1007/s00423-003-0360-z
PMID:12690482
Abstract

BACKGROUND

Infected tumor endoprosthesis of the knee in young patients can prove to be challenging. Common procedures are débridement and prosthesis reimplantation, amputation, revision arthroplasty, and arthrodesis.

CASE PRESENTATION

We report the case of a 44-year-old man treated by arthrodesis followed by callus distraction after removal of an infected tumor mega prosthesis (Kotz type). Callus distraction was performed over a distance of 11 cm in 4 months using a femorotibial intramedullary nail with an external traction rope-winch system.

METHODS AND FOCUS

The clinical, radiological, technical, and therapeutic features are discussed.

摘要

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Treatment solutions are unclear for perimegaprosthetic infections.

本文引用的文献

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Revision of the Kotz type of tumour endoprosthesis for the lower limb.用于下肢的科茨（Kotz）型肿瘤人工关节假体的翻修
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针对假体周围感染，治疗方案尚不清楚。
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J Bone Joint Surg Am. 1998 Mar;80(3):380-8. doi: 10.2106/00004623-199803000-00011.
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One-stage revision surgery for infected megaprostheses.感染性大假体的一期翻修手术。
J Bone Joint Surg Br. 1997 Jan;79(1):31-5. doi: 10.1302/0301-620x.79b1.7139.
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Arthrodesis of the knee with a modular titanium intramedullary nail.采用模块化钛制髓内钉进行膝关节融合术。
J Bone Joint Surg Am. 1997 Jan;79(1):26-35.
9
Kotz modular femur and tibia replacement. 28 tumor cases followed for 3 (1-8) years.科茨模块化股骨和胫骨置换术。28例肿瘤病例，随访3（1 - 8）年。
Acta Orthop Scand. 1994 Jun;65(3):315-8. doi: 10.3109/17453679408995460.
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Arthrodesis of the knee with a vascularized fibular rotatory graft.带血管蒂腓骨旋转移植膝关节融合术
J Bone Joint Surg Am. 1995 May;77(5):751-9. doi: 10.2106/00004623-199505000-00011.