Detaillierte Beitrags-Information
| Beitragstitel | Résults after knee arthrodesis with T2 Stryker Nail ® in severe bone loss |
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| Beitragscode | P066 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
INTRODUCTION: Knee arthrodesis by intramedullary nailing may be one of the last option for limb salvage after severe bone stock deficiency and/or damage of the extensor mechanism due to an infected total knee arthroplasty (TKA), trauma or tumor. The goal of this procedure is to obtain a complete bony bridge and healing at the fusion site. The aim of our study was to evaluate bony fusion after knee arthrodesis using T2 Stryker nail. METHODS: 15 patients underwent knee arthrodesis with T2 Stryker nail from 2000 to 2017, and were retrospectively reviewed to assess fusion rate, time of fusion, complication rates, including new infections, and ambulatory status. Four patients were lost of sight (27%). RESULTS: 11 patients were included, with a mean follow-up of 47 months (8-131months). At their most recent follow-up, 7 patients (64%) were full weight bearing on a fused arthrodesis (4/4 cortical) with a mean time of bone fusion of 25 months (6-95 months), 2 patients (18%) with a 2/4 cortical and 1 patient (9%) with a 1/4 fused cortical. Regarding the last patient (9%), with 0/4 cortical after 14 months, we replaced his T2 nail by a Wichita nail (Stryker). CONCLUSION: Arthrodesis with the T2 Stryker nail gives satisfactory results regarding patients with failed TKA, trauma or tumor. Walking with an arthrodesis represents an acceptable option for limb salvage, especially knowing the costs and the energy expenditure than can be brought by an above knee amputation. |