Open AccessHOW MANY REVISION ARTHROPLASTIES DO WE UNDERTAKE PRIOR TO ARTHRODESIS? (CASE REPORT OF A PATIENT WITH RHEUMATOID KNEE ARTHRITIS)
Author(s) -
Т. А. Куляба,
N.N. Kornilov,
Иосиф Иванович Кроитору,
Леонид Николаевич Соломин,
Г. Ю. Бовкис,
К. Л. Корчагин,
П. П. Иванов
Publication year - 2018
Publication title -
travmatologiâ i ortopediâ rossii
Language(s) - English
Resource type - Journals
eISSN - 2542-0933
pISSN - 2311-2905
DOI - 10.21823/2311-2905-2018-24-3-113-124
Subject(s) - medicine , arthrodesis , surgery , knee joint , rheumatoid arthritis , polyarthritis , tibia , femur , orthopedic surgery , arthritis , total knee replacement , prosthesis , alternative medicine , pathology , immunology
The authors present a clinical case of a female patient with seropositive rheumatoid polyarthritis mainly affecting the knee joints. The patient underwent a primary total bilateral knee replacement. Surgical site infection required multiple revisions including replacement of extensive bone defects of AORI type 3 by structural femur and tibia allografts as well as allografting of extensor mechanism. Repeated attempts to eliminate infection, to gain support ability of extremities and joints motion were not successful. Long-term staged surgical treatment resulted in removal of prostheses and bilateral knee arthrodesis to restore support function of the extremities.