Abstract

CAMACHO, António; BARBOSA, Jorge; MOREIRA, Rodrigo  and  MOREIRA, João. Artrodese do joelho: Revisão teórica e resultados retrospetivos de 22 casos consecutivos. Rev. Port. Ortop. Traum. [online]. 2012, vol.20, n.3, pp.325-334. ISSN 1646-2122.

Knee arthrodesis was widely used in the past to treat pain and instability of the knee. Nowadays the most common indication for knee arthrodesis is the treatment of a failed total knee arthroplasty. In this paper the authors do an overview of the indications, counterindications, preoperative plannning and surgical techniques avaliable. The results an complications of 22 consecutive patients, treated at our institution are presented and discussed. In our institution the used techniques for arthrodesis of the knee are the external fixator, the intramedulary nail inserted by the knee and the compression plates. The loss of bone stock is the main reason for the non union of the arthrodesis. The authors preferred technique is the dual plating of the knee with the plates applied to the anterior and medial aspects of the femur and tibia at 90 degrees to each other.

Keywords : Arthrodesis; arthroplasty; replacement; knee; bone nails; external fixators; humans; joint instability; knee joint; prosthesis-related infections; retrospective studies; bone plates; prosthesis failure.

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