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issues related to surgical exposure, bone loss management and implant selection. 2 In the current article, authors provide a practical guide to approach revision knee surgery. Preoperative evaluation Understanding the cause of the prosthetic
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Introduction Prosthetic joint infection (PJI) remains one of the most serious complications of knee prosthesis implantation. Its incidence is reported as between 0.5% and 2.0% according to the risk factors. 1 – 4 It is the commonest
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Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.
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Planning is an essential element of this surgery; correct diagnosis (to exclude latent infection) and adequate considerations regarding approach, axis, bone loss, choice of implant and level of constraint are indispensable.
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There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.
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Use of an algorithms can support the surgeon’s choice of implant.
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Correct implant positioning and limb alignment restoration is associated with very good results, similar to those achieved with standard total knee arthroplasty.
Cite this article: Benazzo F, Rossi SMP, Combi A, Meena S, Ghiara M. Knee replacement in chronic post-traumatic cases. EFORT Open Rev 2016:1:211-218. DOI: 10.1302/2058-5241.1.000025.
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mobility in older age, the number of implanted prosthetic joints continues to rise. 2 With a steadily increasing number of implantations, the number of PJI cases also rises continuously. Longer prosthesis indwelling time is associated with a higher
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present with acute as well as with chronic like symptoms. In addition, tuberculosis (TB) of a prosthetic joint may be present throughout the entire spectrum of presentation. In rare cases, latent TB may become manifest after invasive surgery and/or during
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2014 Periprosthetic joint infection with negative culture results: clinical characteristics and treatment outcome Choi HR et al 18 Hip (50%) Knee (50%) 23.0 Case control Retrospective 175 2013 Culture negative prosthetic
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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part is to review reported radiological complications, infection and neurologic injury related to the use of RSA and to analyse their occurrence based on the various prosthetic designs used. Rarer complications, such as intraoperative cement
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generates particulate debris that can lead to peri-prosthetic osteolysis. The use of modular components also contributes to this process of osteolysis via ‘backside’ wear. Accelerated polyethylene wear and extensive osteolysis can result in aseptic loosening
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Introduction While more than 66 000 prosthetic shoulder procedures were performed in 2011 in the United States, the rate of post-operative infection seems to remain stable with 0.98% of cases. 1 - 3 However, when infection occurs, this
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review the various prosthetic knee hinge models that have been used since 1975, with the purpose of analysing their indications and results. Table 1. Summary of hinge knee prosthesis designs published in the literature since 1975 Design