GMS Interdiscip Plast Reconstr Surg DGPW. 2013 Apr 25;2:Doc07. doi: 10.3205/iprs000027. eCollection 2013.
GMS Interdisciplinary plastic and reconstructive surgery DGPW
Andreas H H Tiemann
PMID: 26504699 PMCID: PMC4582498 DOI: 10.3205/iprs000027
The irretrievable destruction of the knee due to trauma, tumor or infection is the indication for knee arthrodesis. The main reason for knee arthrodesis in terms of infection ist the infected total knee arthroplasty. Central problem is the definition of the term "irretrievable". It is based on the subjective opinion of the attending physician and depends on his expert knowledge of this specific entity. The preservation of a functioning extremity is the main goal. This article shows the typical indications and contraindications for knee arthrodesis following septic knee diseases. In addition it gives insight into the biomechanical and technical considerations to be kept in mind. Finally the postoperative care and outcome of different techniques are analysed.
Keywords: indications; infected knee; knee arthrodesis; technique