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J Arthroplasty ; 29(5): 982-8, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24176782

RESUMO

Arthrodesis is a widely accepted treatment for failed total knee arthroplasty when further revision is contraindicated. In this study, we retrospectively review the pre-operative characteristics, operation techniques, treatment plans, and eventual outcomes in 42 consecutive patients (43 knees) who underwent knee arthrodesis at a single institution. Femorotibial fusion was achieved in 30 cases (75.0%). No cases of implant failure were recorded. Post-operative complications occurred in 20 cases (46.5%). Repeat arthrodesis was performed in 4 cases, and 2 patients eventually required above-the-knee amputation. Comparing the cases with successful vs. unsuccessful outcomes, there was a significant difference in days until hospital discharge following arthrodesis (P = .026), mean erythrocyte sedimentation rate prior to arthrodesis (P = .012), and the proportion of patients with post-operative wound complications (P = .021).


Assuntos
Artrodese/métodos , Artroplastia do Joelho/efeitos adversos , Artropatias/cirurgia , Articulação do Joelho/cirurgia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Fêmur/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Tíbia/cirurgia , Falha de Tratamento
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