Phillips H T, Mears D C
Clin Orthop Relat Res. 1980 Sep(151):147-52.
Deep sepsis is a serious postoperative complication of total knee hinge arthroplasty. Measures to eradicate the infection are time-consuming, expensive and often a threat to the limb and occasionally the life of the patient. At best, a successful result is a short leg with an arthrodesed knee. More often the patient is left with a painful fibrous ankylosis, or an above-knee amputation. The Hoffman external skeletal fixation device provides rigid fixation and allows early ambulation. Its use in combination with debridement and bone grafting can result in a successful arthrodesis with a minimum amount of shortening.
深部脓毒症是全膝关节铰链置换术后一种严重的并发症。根除感染的措施耗时、昂贵，且常常对肢体构成威胁，偶尔还会危及患者生命。充其量，成功的结果也就是一条膝关节融合的短腿。更常见的情况是，患者会留下疼痛的纤维性关节强硬，或者接受膝上截肢。霍夫曼外骨骼固定装置提供坚固的固定，并允许早期活动。将其与清创术和骨移植联合使用，可在缩短最少的情况下成功实现关节融合。
