Savvidis Ioannis, Rigkos Dimitrios, Solovos Evaggelos, Georgiannos Dimitrios, Bisbinas Ilias
1st Trauma and Orthopaedics Department, 424 General Military Training Hospital, Thessaloniki, GRC.
Cureus. 2023 Feb 16;15(2):e35052. doi: 10.7759/cureus.35052. eCollection 2023 Feb.
Total knee replacement is the gold standard for the surgical treatment of late-stage symptomatic knee osteoarthritis when conservative measures have not alleviated the problem. However, as with any surgery, there are potential dangers and complications. Of these, infection is one of the most severe and may lead to life-changing outcomes for the patient. In this case report, a patient with a history of infected primary total knee arthroplasty and numerous attempts to eradicate the patient's infection is presented. After two unsuccessful two-stage revisions, and although arthrodesis was discussed and suggested, an above-knee amputation was finally applied to our patient.
全膝关节置换术是保守治疗措施无法缓解症状时，晚期症状性膝关节骨关节炎外科治疗的金标准。然而，与任何手术一样，全膝关节置换术存在潜在风险和并发症。其中，感染是最严重的并发症之一，可能给患者带来改变生活的后果。本病例报告介绍了一位有原发性全膝关节置换术后感染病史且多次尝试根除感染的患者。经过两次二期翻修手术均告失败后，尽管曾讨论并建议行关节融合术，但最终还是对该患者实施了膝上截肢术。
