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Paolo Salari Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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Andrea Baldini Institute for Complex Arthroplasty and Revisions (ICAR), Villa Ulivella Clinic, Florence, Italy

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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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Corentin Pangaud Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Matthieu Ollivier Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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Jean-Noël Argenson Hôpital Sainte Marguerite, Aix Marseille Université, Marseille, France

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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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Francesco Benazzo Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Stefano M.P. Rossi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Alberto Combi Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Sanjay Meena SICOT Fellow at Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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Matteo Ghiara Department of Clinical-Surgical Sciences, Diagnostics and Pediatrics, University of Pavia, Italy

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  • Post-traumatic knee arthritis is a challenging condition. Prosthetic surgery is demanding and the risk of complications is relatively high.

  • 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.

  • There are two main categories of post-traumatic arthritis: extra-articular deformities and articular deformities.

  • Use of an algorithms can support the surgeon’s choice of implant.

  • 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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Petra Izakovicova HELIOS Klinik Zerbst/Anhalt, Germany

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Olivier Borens Service of Orthopaedics and Traumatology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland

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Andrej Trampuz Charité – Universitätsmedizin Berlin, Corporate Member of Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Center for Musculoskeletal Surgery (CMSC), Berlin, Germany

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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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Marjan Wouthuyzen-Bakker Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands

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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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Jeya Palan Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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Ciaran Nolan Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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Kostas Sarantos Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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Richard Westerman Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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Richard King Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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Pedro Foguet Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Leeds, UK

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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

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Marko Nabergoj Valdoltra Orthopaedic Hospital, Ankaran, Slovenia
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

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Patrick J. Denard Oregon Shoulder Institute, Medford, OR

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Philippe Collin Centre Hospitalier Privé Saint-Grégoire (Vivalto Santé), Saint- Grégoire, France

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Rihard Trebše Valdoltra Orthopaedic Hospital, Ankaran, Slovenia
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

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Alexandre Lädermann Division of Orthopaedics and Trauma Surgery, La Tour Hospital
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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Hee-Nee Pang Department of Orthopaedic Surgery, Singapore General Hospital, Singapore and Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Hamid Rahmatullah Bin Abd Razak Department of Orthopaedic Surgery, Singapore General Hospital, Singapore

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Stephen Petis Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Douglas D. R. Naudie Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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Steven J. MacDonald Division of Orthopaedic Surgery, London Health Sciences Centre, London, Ontario, Canada

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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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Nicolas Bonnevialle Orthopaedic Department and Biomechanics Department, IMFT CNRS URM 5502, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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Florence Dauzères Orthopaedic Department, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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Julien Toulemonde Orthopaedic Department, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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Fanny Elia Orthopaedic Department, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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Jean-Michel Laffosse Orthopaedic Department, CRIOAC and Biomechanics Department, IMFT CNRS, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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Pierre Mansat Orthopaedic Department and Biomechanics Department, IMFT CNRS URM 5502, Riquet Hospital, University Centre, Place Baylac, 31059 Toulouse, France

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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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E. Carlos Rodríguez-Merchán Department of Orthopaedic Surgery, “La Paz” University Hospital-IdiPaz, Madrid, Spain

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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

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