Jørgensen P S, Tørholm C
Department of Orthopedics, Rigshopitalet, University of Copenhagen, Denmark.
Am J Knee Surg. 1995 Summer;8(3):110-3.
Safe methods to perform secondary arthrodesis in the treatment of infected total knee arthroplasty (TKA) after revision arthroplasty has failed are increasingly needed as TKA becomes more common. Possible treatments include external fixation (with single- or double-framed fixators), internal fixation, or amputation. This article reports five cases of infected TKA treated with arthrodesis using a long intramedullary nail. Arthrodesis was performed in a two-stage manner, with surgical revision and insertion of a long intramedullary nail. All arthrodeses healed on an average of 4.8 months.
随着全膝关节置换术(TKA)越来越普遍,在翻修关节置换术失败后,治疗感染性全膝关节置换术的安全二期关节融合方法的需求日益增加。可能的治疗方法包括外固定(使用单框架或双框架固定器)、内固定或截肢。本文报告了5例使用长髓内钉进行关节融合治疗感染性TKA的病例。关节融合采用两阶段方式进行,包括手术翻修和插入长髓内钉。所有关节融合平均在4.8个月愈合。