Two-stage knee arthrodesis using a cemented modular tumour replacement system for recalcitrant septic proximal tibial non-union: a case report

J Orthop Surg (Hong Kong). 2013 Aug;21(2):241-4. doi: 10.1177/230949901302100226.

Abstract

Knee arthrodesis is an alternative to amputation for treating recalcitrant septic non-union of the proximal tibia with bone loss, soft-tissue compromise, and knee-joint involvement. Nonetheless, arthrodesis is difficult to achieve if bone loss is massive, and the septic environment can result in failed bone fusion. We report on a 77-year-old man with massive bone loss secondary to recalcitrant septic non-union who underwent radical bone resection, followed by knee arthrodesis using a cemented modular intercalary megaprosthesis in conjunction with a microvascularised flap in 2 stages.

Keywords: arthrodesis; infection; knee joint; tibial fractures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Arthrodesis / methods*
  • Bone Resorption / etiology
  • Bone Resorption / surgery*
  • Cementation
  • Fractures, Spontaneous / etiology
  • Fractures, Spontaneous / surgery
  • Fractures, Ununited / etiology
  • Fractures, Ununited / surgery*
  • Humans
  • Hyperparathyroidism / complications
  • Knee Joint / surgery
  • Male
  • Methicillin-Resistant Staphylococcus aureus*
  • Osteitis Fibrosa Cystica / etiology
  • Osteitis Fibrosa Cystica / surgery
  • Osteomyelitis / etiology
  • Osteomyelitis / surgery
  • Salvage Therapy
  • Staphylococcal Infections / etiology
  • Staphylococcal Infections / therapy*
  • Surgical Flaps
  • Tibial Fractures / etiology
  • Tibial Fractures / surgery*

Substances

  • Anti-Bacterial Agents