TY - JOUR
T1 - Arthrodesis of the knee with a vascularized fibular rotatory graft
AU - Rasmussen, M. R.
AU - Bishop, A. T.
AU - Wood, M. B.
PY - 1995
Y1 - 1995
N2 - 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.
AB - 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.
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U2 - 10.2106/00004623-199505000-00011
DO - 10.2106/00004623-199505000-00011
M3 - Article
C2 - 7744900
AN - SCOPUS:0029067436
SN - 0021-9355
VL - 77
SP - 751
EP - 759
JO - Journal of Bone and Joint Surgery
JF - Journal of Bone and Joint Surgery
IS - 5
ER -