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Rotationplasty with Vascular Reconstruction for Prosthetic Knee Joint Infection
- Source :
- Case Reports in Orthopedics, Vol 2015 (2015), Case Reports in Orthopedics
- Publication Year :
- 2015
- Publisher :
- Hindawi Limited, 2015.
-
Abstract
- Rotationplasty is used most often as a function-preserving salvage procedure after resection of sarcomas of the lower extremity; however, it is also used after infection of prosthetic knee joints. Conventional vascular management during rotationplasty is to preserve and coil major vessels, but recently, transection and reanastomosis of the major vessels has been widely performed. However, there has been little discussion regarding the optimal vascular management of rotationplasty after infection of prosthetic knee joints because rotationplasty is rarely performed for this indication. We reviewed four patients who had undergone resection of osteosarcomas of the femur, placement of a prosthetic knee joint, and rotationplasty with vascular reconstruction from 2010 to 2013. The mean interval between prosthetic joint replacement and rotationplasty was 10.4 years and the mean interval between the diagnosis of prosthesis infection and rotationplasty was 7.9 years. Rotationplasty was successful in all patients; however, in one patient, arterial thrombosis developed and necessitated urgent surgical removal and arterial reconstruction. All patients were able to walk independently with a prosthetic limb after rehabilitation. Although there is no consensus regarding the most appropriate method of vascular management during rotationplasty for revision of infected prosthetic joints, vascular transection and reanastomosis is a useful option.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
business.industry
Prosthetic joint
medicine.medical_treatment
Rotationplasty
Prosthetic limb
Case Report
General Medicine
medicine.disease
Prosthesis
Thrombosis
Surgery
lcsh:RD701-811
lcsh:Orthopedic surgery
Vascular reconstruction
Prosthetic knee
medicine
Femur
business
Subjects
Details
- ISSN :
- 20906757 and 20906749
- Volume :
- 2015
- Database :
- OpenAIRE
- Journal :
- Case Reports in Orthopedics
- Accession number :
- edsair.doi.dedup.....c2132d8f0d880d681e2e853f7bb88806