Abstract | BACKGROUND: Despite modern surgical techniques, salvage of a failed total knee replacement remains a challenge. In certain situations, when other treatment options have been exhausted, patients with a failed total knee replacement may become candidates for above-the-knee amputation. The objective of this study was to assess the prevalence, etiology, and functional outcome of above-the-knee amputation performed proximal to an ipsilateral total knee replacement. METHODS: RESULTS: The twenty-five above-the-knee amputations performed for causes related to the total knee replacement were done at an average of 8.6 years (range, eight days to 23.6 years) after the replacement. The prevalence of above-the-knee amputations done for causes related to total knee replacement was 0.14%. Complications after the above-the-knee amputation included deep infection in five patients and superficial infection and skin necrosis in one each; there was also one perioperative death. Nine of the twenty-five limbs were fitted with an above-the- knee prosthesis, but only five patients were walking even to a limited degree with the prosthesis at the time of the last follow-up. CONCLUSIONS:
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Authors | Rafael J Sierra, Robert T Trousdale, Mark W Pagnano |
Journal | The Journal of bone and joint surgery. American volume
(J Bone Joint Surg Am)
Vol. 85
Issue 6
Pg. 1000-4
(Jun 2003)
ISSN: 0021-9355 [Print] United States |
PMID | 12783994
(Publication Type: Journal Article)
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Topics |
- Aged
- Amputation, Surgical
(methods, statistics & numerical data)
- Arthroplasty, Replacement, Knee
(adverse effects)
- Artificial Limbs
- Female
- Humans
- Knee
- Male
- Middle Aged
- Musculoskeletal Diseases
(epidemiology, etiology, surgery)
- Prevalence
- Recovery of Function
- Retrospective Studies
- Treatment Failure
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