Intramedullary Arthrodesis of the Knee in the Treatment of Sepsis After TKR

Description: A review of infections following TKR treated at two joint replacement centers identified 29 cases of resistant knee sepsis treated with a long intramedullary fusion nail. Clinical outcome and radiographs were reviewed at an average follow-up of 48 months
Intramedullary arthrodesis is a viable treatment for refractory infection after TKR. Patients undergoing fusion should be informed of the potential for nonunion, recurrence of infection, pain in the ipsilateral extremity, and the long-term need for walking aids.
Intramedullary Arthrodesis of the Knee in the Treatment of Sepsis After TKR Carl T. Talmo, MD, James V. Bono, MD, Mark P. Figgie, MD, Thomas P. Sculco, MD, Richard S. Laskin, MD, and Russell E. Windsor, MD HSS J. 2007 February; 3(1): 83–88. full text