The Soft Tissue Repair and Knee Arthrodesis with Ilizarov Method in the Treatment of the Open Wound Which is Secondary to the Total Knee Prosthesis: Case Report.

The total knee arthroplasty (TKA) was performed in a 68-year-old female patient who had been followed up with the diagnosis of knee osteoarthritis. The operated knee got infected during follow up. The infection became resistant and caused soft tissue necrosis and insufficiency of extensor mechanism...

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Publicado en:Turkiye Klinikleri Journal of Medical Sciences Vol. 31; no. 6; pp. 1547 - 1551
Autores principales: Öçgüder, Durmus Ali, Bozkurt, Murat, Ugurlu, Mahmut, Demirseren, Erol, Tecimel, Osman
Formato: case study diagnostic images pictorial Journal Article
Publicado: Turkiye Klinikleri Nov/Dec2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov/Dec2011
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        atl: The Soft Tissue Repair and Knee Arthrodesis with Ilizarov Method in the Treatment of the Open Wound Which is Secondary to the Total Knee Prosthesis: Case Report.
      aug:
        au:
          Öçgüder, Durmus Ali
          Bozkurt, Murat
          Ugurlu, Mahmut
          Demirseren, Erol
          Tecimel, Osman
      sug:
        subj:
          Arthroplasty, Replacement, Knee Adverse Effects
          Orthopedic Fixation Devices
          Postoperative Complications Surgery
          Surgery, Reconstructive Methods
          Surgical Wound Surgery
          Aged
          Female
          Aged: 65+ years
          Female
      ab: The total knee arthroplasty (TKA) was performed in a 68-year-old female patient who had been followed up with the diagnosis of knee osteoarthritis. The operated knee got infected during follow up. The infection became resistant and caused soft tissue necrosis and insufficiency of extensor mechanism in spite of the debridement of the wound, antibiotic treatment and insert change. As a salvage procedure, prosthesis was removed and the knee arthrodesis with external Ilizarov fixator was performed. One week after, the soft tissue defect which was secondary to necrosis was closed with a split thickness skin graft. The bones fused at the fifteenth week. The patient was able to walk without assistance and there was no evidence of infection. infected total knee arthroplasty is one of the most difficult problems that an orthopedic surgeon may encounter. A number of treatment modalities have been proposed for the infected total knee arthroplasty so far. Knee arthrodesis with external fixator might be an effective treatment option for regaining the functions and restoration alignments of extremities in the patients with severe knee arthroplasty pproblmes complicated with infection. This case report can be a good example of satisfactory outcome and an effective approach to the resistant and complicated cases of TKA with co-morbid conditions.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: Turkish
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