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Knee Fusion
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2007 A novel approach to juxta-articular aggressive and recurrent giant cell tumours

Location: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267554/

Aggressive juxta-articular giant cell tumours of the lower limbs occurring in young patients are a challenge to the average orthopaedic surgeon. Although it is the treatment of choice for these tumours, wide resection creates a problem for the reconstruction of large bone gaps. We describe our results after resection arthrodesis...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

A technique for difficult arthrodesis of the knee

Location: http://www.jbjs.org.uk/cgi/reprint/66-B/3/367

Twenty knees, in which a total of 32 previous operations had been performed, were arthrodesed by the Charnley compression technique combined with intramedullary nailing. Patients with previous infection were excluded from the series, but three neuropathic knees were included. Bony union was evident after an average of six months in...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Arthrodesis Knee OrthoFracs

Location: http://www.orthofracs.com/Operations/Arthrodesis/arthrodesisknee.html

Principles
Accurate fitting of concellous surfaces in correct position is of extreme importance
Use TKR cutting blocks
Charnley (1948) used compression clamps with pins placed 4cm from cut surfaces
Use of two pins at either end better control of angular movement about osteotomy.
Charnley used near full extension in children as grow into flexion
Indications: Historically TB...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Sep 27 2009

Arthrodesis of the knee using a custom-made intramedullary coupled device

Location: http://www.jbjs.org.uk/cgi/reprint/85-B/1/57

Nine patients underwent arthrodesis of the knee using customised coupled nail (the Mayday arthrodesis nail), five after infected arthroplasty, one following failed arthrodesis, one for intractable anterior knee pain, one for Charcot instability and one after trauma. Comparison was made with 17 arthrodeses, eight undertaken using external fixation, four with...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Arthrodesis of the Knee Using Computer Navigation in Failed Total Knee Arthroplasty

Location: http://www.orthosupersite.com/view.asp?rID=37219

Arthrodesis is used most commonly as a salvage procedure for failed total knee arthroplasty (TKA). For successful arthrodesis, a stable fusion technique and acceptable limb mechanical alignment are needed. Although the use of TKA intramedullary alignment rods may be helpful in terms of achieving an acceptable limb mechanical axis, fat...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Curved Kuntscher nail arthrodesis after failure of knee replacement

Location: http://www.jbjs.org.uk/cgi/reprint/71-B/4/588

We report the use of long curved Kuntscher nails to maintain stability during arthrodesis of nine infected and five uninfected failures of total knee replacement. The curvature of the nail helps positioning and avoids the need for cortical perforation. A single-stage operation was possible in most cases. Union rates are...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Elective Surgery of the Knee

Location: http://www.aboutjoints.com/physicianinfo/topics/electivesurgeryknee/electivesurgeryknee.htm

by D.W. LENNOX, L.H. RILEY Jr, D.S. HUNGERFORD, M.A. JACOBS, Th. JUDET and K.A. KRACKOW In: Atlas of Orthopaedic Surgery Volume 3 1991
Procedures covered include Synovectomy of the knee, Total Knee Replacement (TKR), Revision Knee Arthroplasty, Distraction Arthroplasty, Arthrodesis of the knee,
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View Details Visit Resource Review It Rate It Bookmark It Added: Thu Mar 13 2008

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

Location: http://www.ncbi.nlm.nih.gov:80/pmc/articles/PMC2504091/

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...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee Arthrodesis after Failed Knee Replacement - MEDLINE Abstracts

Location: http://www.medscape.com/viewarticle/434215

What's new concerning the use of knee arthrodesis after failed knee replacement? Find out in this easy-to-navigate collection of recent MEDLINE abstracts compiled by the editors at Medscape Orthopaedics and Sports Medicine. Abstracts include -
Arthrodesis of the Knee with a Modular Titanium Intramedullary Nail
Arthrodesis Following Revision of a Knee Endoprosthesis....
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee arthrodesis following prosthesis removal

Location: http://www.jbjs.org.uk/cgi/reprint/65-B/1/29.pdf

Arthrodesis after the removal of a knee prosthesis is often hampered by the small area of contact of the bony surfaces and by pre-existing infection. Conventional systems of external fixation and compression frequently fail to achieve stability but the addition of the Wagner leg-lengthening apparatus applied anteriorly and adjusted to...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee Arthrodesis in the Treatment of Failed Total Knee Replacement Medscape

Location: http://www.medscape.com/viewarticle/431677

The recommended methods of achieving fixation for a knee arthrodesis following a failed knee replacement include external fixation or internal fixation using an intramedullary nail or plate. This is a retrospective review of 26 patients that had failed total knee replacements treated by knee arthrodesis occurring at a single institution...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee Arthrodesis The Bone School

Location: http://www.boneschool.com.au/lower-limb/knee/arthodesis

Like elbow arthrodesis, knee arthrodesis is an option of last resort
Aims - Coapt 2 coplanar cancellous surfaces under compression with rigid fixation
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View Details Visit Resource Review It Rate It Bookmark It Added: Tue Dec 22 2009

Knee arthrodesis using a unilateral external fixator for the treatment of infectious sequelae

Location: http://www.aott.org.tr/index.php/aott/article/viewFile/2875/1000

Objectives: We evaluated the results of arthrodesis using a monolateral external fixator for the treatment of septic sequelae of the knee joint.
Conclusion: Knee arthrodesis using a monolateral external fixator is associated with a high fusion rate and a low complication rate, and provides a more comfortable treatment option compared to...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee Arthrodesis using an Intramedullary Nail Wheeless

Location: http://www.wheelessonline.com/ortho/knee_arthrodesis_using_an_intramedullary_nail

Discussion:
- IM may be most reliable technique for achieving union;
- w/ TKR infection, IM fusion needs to be performed in a staged fasion with removal of components and control of infection before fusion is attempted;
- contra indications:
 - active infection:
   - presence of active infection because of risk of infection spreading...
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View Details Visit Resource Review It Rate It Bookmark It Added: Sun Nov 01 2009

Knee Arthrodesis Wheeless

Location: http://www.wheelessonline.com/ortho/knee_arthrodesis

See: Arthrodesis following TKR:
- PreOp Planning for Arthrodesis:
- Discussion:
- arthrodesis provides potential of a painless, stable base of support but it does so at the expense of knee motion;
- optimal position of arthrodesis:
...
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View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

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