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The Journal of Arthroplasty, ISSN: 0883-5403, Vol: 24, Issue: 1, Page: 159.e13-159.e17
Knee
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The Treatment of Recurrent Chronic Infected Knee Arthroplasty With a 2-Stage Procedure
Valentin Antoci; Matthew J. Phillips; Valentin Antoci Jr; Kenneth A. KrackowKnee
We report the case of a patient with recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction and massive bone loss that was successfully treated with a 2-stage procedure—resection arthroplasty with insertion of an antibiotic-impregnated cement rod-spacer and systemic antibiotics and then a resection arthrodesis of the knee with the use of an intercalary allograft fixed with a long intramedullary nail. This technique is a viable option for the treatment of recurrent periprosthetic infections after total knee arthroplasty associated with bone destruction, massive bone loss, and severe instability.
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