Arthrodesis of the knee with a vascularized fibular rotatory graft

M. R. Rasmussen, A. T. Bishop, M. B. Wood

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

We retrospectively reviewed the records of thirteen patients who had been managed with an arthrodesis of the knee with use of a vascularized graft from the ipsilateral fibula and fixation with an intramedullary rod. The indications for the operation included a large skeletal defect secondary to the resection of a tumor about the knee in eight patients, an infection at the site of an arthroplasty in four (with failure of a previous conventional arthrodesis in three of the four), and severe rheumatoid gonarthrosis as well as a persistent non-union of the distal part of the femur in one. The average age of the patients at the time of the operation was forty-three years (range, twenty-six to seventy-six years). Most of the patients had had multiple previous procedures (thirty-three operations had been performed in ten patients). Twelve of the thirteen patients had a solid fusion and a successful result after an average duration of follow-up of fifty-one months (range, eight to ninety-three months). The remaining patient, who had had four previous arthroplasties, had a recurrence of an infection seven months after the operation and was managed with an amputation. Six complications - including two superficial wound infections, one deep wound infection, one deep venous thrombosis, one transient peroneal-nerve palsy, and one delayed union - occurred in three patients.

Original languageEnglish (US)
Pages (from-to)751-759
Number of pages9
JournalJournal of Bone and Joint Surgery - Series A
Volume77
Issue number5
DOIs
StatePublished - Jan 1 1995

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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