ABSTRACT
Total knee replacement is the gold standard for the surgical treatment of late-stage symptomatic knee osteoarthritis when conservative measures have not alleviated the problem. However, as with any surgery, there are potential dangers and complications. Of these, infection is one of the most severe and may lead to life-changing outcomes for the patient. In this case report, a patient with a history of infected primary total knee arthroplasty and numerous attempts to eradicate the patient's infection is presented. After two unsuccessful two-stage revisions, and although arthrodesis was discussed and suggested, an above-knee amputation was finally applied to our patient.
ABSTRACT
Bisphosphonates have recently been used as a first-line treatment for osteoporosis. However, prolonged bisphosphonate use may be associated with insufficiency and atypical femoral fractures. In this case report, we present a patient with simultaneous bilateral insufficiency femoral fractures after using alendronate for 11 years, which were treated surgically. Our patient also had a history of a previous right femoral atypical fracture eight years before the latest ones, while on 3-year alendronate treatment. To our knowledge, it is the first patient reported with three atypical - insufficiency fractures covering all the anatomical areas of the proximal half of the femur after long-term bisphosphonate treatment.
ABSTRACT
Complete talar dislocation-extrusion is an uncommon sequela of high-energy trauma. When the talus is unavailable for reimplantation, a staged treatment plan with the use (a) of an antibiotic cement spacer, followed by (b) tibiotalocalcaneal fusion with bone allograft interposition, may ensure a good clinical outcome.
