Arthrodesis with a Short Huckstep Nail as a Salvage Procedure for Failed Total Knee Arthroplasty*

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

“…Consistent with other reports was the incidence of ipsilateral hip and ankle pain in this series [3,11,19]. Arthrodesis increases the forces transmitted across adjacent joints, and patients should be informed of the potential for ipsilateral joint pain particularly in the setting of preexisting multifocal arthritis.…”

“…There are numerous reports in the literature with fusion rates ranging from 50 to 100% for a variety of techniques [9][10][11]. External fixation historically has been a very effective technique for arthrodesis, particularly in the face of infection [12].…”

Knee arthrodesis with a press-fit modular intramedullary nail without bone-on-bone fusion after an infected revision TKA

“…Many authors recommend use of the two-stage technique when using an IM nail [6,13,15,17,20]. On the other hand, other authors have demonstrated that a one-stage procedure with the use of intramedullary nail was safe and with no recurrent infection [13,22,25]. In our study we used a two-stage arthrodesis in all cases although we did not need bone fusion for healing of arthrodesis.…”

Arthrodesis of the knee after an infected arthroplasty using the Ilizarov method

“…[14][15][16][17][18][19] In the past, various techniques have been used to achieve arthrodesis, with rates of union ranging from 29% to 100%. 1,4,7,8,14,16,17,[20][21][22][23][24][25][26][27][28][29][30] Single-plane external fixation is the least successful technique (29% union) 9 and intramedullary nailing the best with fusion in 88% to 100%. 24,26,29,30 An intramedullary nail, however, should only be used after the infection has been satisfactorily treated.…”