Wheeless' Textbook of Orthopaedics
C.R. Wheeless MD
Wheeless' Textbook of Orthopaedics
Isiklar ZU. Landon GC. Tullos HS.
Clinical Orthopaedics & Related Research. (299):173-8, 1994 Feb.
From 1983 to 1992, nine above-knee amputations were performed in eight
patients for complications after total knee arthroplasty. The mean time
from the initial knee replacement to amputation was 9.7 years. The average
age of the four men and four women was 72 years. Eight knees had chronic
infection and one had intractable pain after four revision attempts for
aseptic loosening. Most patients had two revision arthroplasties after the
original implant. In this series, the common factors that lead to
amputation were multiple revision attempts in the presence of chronic
infection, severe bone loss, and intractable pain. Earlier consideration
of arthrodesis rather than multiple revision attempts is recommended to
avoid such a poor outcome.
*
Isiklar ZU. Landon GC. Tullos HS.
Clinical Orthopaedics & Related Research. (299):173-8, 1994 Feb.
From 1983 to 1992, nine above-knee amputations were performed in eight
patients for complications after total knee arthroplasty. The mean time
from the initial knee replacement to amputation was 9.7 years. The average
age of the four men and four women was 72 years. Eight knees had chronic
infection and one had intractable pain after four revision attempts for
aseptic loosening. Most patients had two revision arthroplasties after the
original implant. In this series, the common factors that lead to
amputation were multiple revision attempts in the presence of chronic
infection, severe bone loss, and intractable pain. Earlier consideration
of arthrodesis rather than multiple revision attempts is recommended to
avoid such a poor outcome.
*