Rotationplasty with Vascular Reconstruction for Prosthetic Knee Joint Infection
Joint Authors
Fujiki, Masahide
Miyamoto, Shimpei
Nakatani, Fumihiko
Sakuraba, Minoru
Kawai, Akira
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Fujiki, Masahide& Miyamoto, Shimpei& Nakatani, Fumihiko& Kawai, Akira& Sakuraba, Minoru. 2015. Rotationplasty with Vascular Reconstruction for Prosthetic Knee Joint Infection. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059446
Modern Language Association (MLA)
Fujiki, Masahide…[et al.]. Rotationplasty with Vascular Reconstruction for Prosthetic Knee Joint Infection. Case Reports in Orthopedics No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059446
American Medical Association (AMA)
Fujiki, Masahide& Miyamoto, Shimpei& Nakatani, Fumihiko& Kawai, Akira& Sakuraba, Minoru. Rotationplasty with Vascular Reconstruction for Prosthetic Knee Joint Infection. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059446
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059446