Management of posttraumatic extensive bone loss and osteomyelitis using a customized articulating knee spacer

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

The combination of infection and extensive bone loss presents a challenging reconstructive situation for surgeons performing total knee arthroplasty (TKA). We describe the case of a patient that suffered a grade III open fracture of the tibial plateau and developed a recurrent infection which resulted in loss of the proximal 15 cm of the tibia. Our solution was interim use of custom-made articulating, antibiotic-impregnated spacers followed by a structural tibial allograft and hinged TKA. At 2-year follow-up the patient is infection-free and is able to ambulate without the use of support.

Original languageEnglish (US)
Pages (from-to)268-271
Number of pages4
JournalKnee
Volume15
Issue number4
DOIs
StatePublished - Aug 1 2008

Keywords

  • Infection
  • Spacer
  • Tibial allograft
  • Tibial fracture
  • Total knee arthroplasty

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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