TY - JOUR
T1 - Temporary resection-arthrodesis of the knee using an intramedullary rod and bone cement
AU - Capanna, R.
AU - Biagini, R.
AU - Ruggieri, P.
AU - Bettelli, G.
AU - Casadei, R.
AU - Campanacci, M.
PY - 1989/11
Y1 - 1989/11
N2 - A temporary arthrodesis of the knee, using an intramedullary Küntscher rod and bone cement, was carried out in 76 patients after resection of tumours of the distal femur or proximal tibia. In contrast to primdry arthrodesis with bone grafting, this procedure allows the patient to bear weight on a stable limb a few days after operation, reduces the risk of infection and avoids the negative effect of chemotherapy on graft incorporation. In 12 cases (16%) the implant failed mechanically by fracture, or by bending or migration of the rod, at from 13 to 54 months after operation. Deep infection occurred in 11 patients (14%). A second reconstruction was carried out in 14 patients, 10 using Kotz prostheses and 4 arthrodeses with bone grafting. The operation we describe has advantages for patients with high grade tumours which require chemotherapy and resection-arthrodesis of the knee joint.
AB - A temporary arthrodesis of the knee, using an intramedullary Küntscher rod and bone cement, was carried out in 76 patients after resection of tumours of the distal femur or proximal tibia. In contrast to primdry arthrodesis with bone grafting, this procedure allows the patient to bear weight on a stable limb a few days after operation, reduces the risk of infection and avoids the negative effect of chemotherapy on graft incorporation. In 12 cases (16%) the implant failed mechanically by fracture, or by bending or migration of the rod, at from 13 to 54 months after operation. Deep infection occurred in 11 patients (14%). A second reconstruction was carried out in 14 patients, 10 using Kotz prostheses and 4 arthrodeses with bone grafting. The operation we describe has advantages for patients with high grade tumours which require chemotherapy and resection-arthrodesis of the knee joint.
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U2 - 10.1007/BF00268507
DO - 10.1007/BF00268507
M3 - Article
C2 - 2599701
AN - SCOPUS:0024792574
VL - 13
SP - 253
EP - 258
JO - International Orthopaedics
JF - International Orthopaedics
SN - 0341-2695
IS - 4
ER -