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Query: UMLS:C0003090 (arthrodesis)
 8,374 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Results of 89 polycentric knee arthroplasties are assessed from 2 years to 7 1/2 years after operation. Seventy-two arthroplasties (81%) are considered to improve the mobility of the patient, with 17 arthroplasties producing no improvement. Infection after operation in 6 arthroplasties (7%) required arthrodesis of 3 arthroplasties. Loosening of prosthetic components occurred in 9 arthroplasties (10%).
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PMID:Complications of polycentric knee arthroplasty. 97 45

We reviewed thirty-two arthrodeses of the ankle in twenty-six patients who had rheumatoid arthritis. In seventeen patients (eighteen ankles), a compression arthrodesis was done and external fixation was used. In eight patients (twelve ankles), we used internal fixation with 6.5-millimeter cancellous-bone screws. In the remaining patient, an arthrodesis with external fixation was done in one ankle and internal fixation was used in the other ankle; data for the appropriate ankle are included in each group. The patients were followed for an average of thirty-three months. The two groups were comparable with respect to age, sex, preoperative medications, and severity of disease. The average time to fusion was nineteen weeks in the compression arthrodesis group and seventeen weeks in the internal fixation group. Of the nineteen ankles that had a compression arthrodesis, four failed to fuse; all of the failures were associated with infection. Infection developed in two additional patients, there was malposition of the fusion in three patients, and neurapraxia developed in three patients. Of the thirteen ankles that had internal fixation, three ankles failed to fuse; one of the failures was associated with infection. Infection developed in one additional ankle. In two patients, the ankle fused in excessive valgus. Comparison of the two groups revealed comparable rates of fusion: fusion occurred in fifteen of the nineteen ankles in the group that had compression arthrodesis and in ten of the thirteen ankles in the group that had internal fixation. The method of arthrodesis did not affect the time to fusion or the rate of complications.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Arthrodesis of the ankle in patients who have rheumatoid arthritis. 163 81

Arthrodesis of the ankle can result in a painless, normal walking gait. However, complications in ankle arthrodesis can be major, and can occur when anatomy, deformity, or bony deficiency is not properly addressed. Nonoperative treatment should always be considered first, and, if possible, an open or arthroscopic ankle debridement can provide significant pain relief. Arthrodesis should be considered after conservative treatment fails. Infections, deformity, sensory deficiencies, and bony defects require special consideration. The use of bone graft and internal or external compression will enhance the likelihood of a successful arthrodesis.
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PMID:An overview of ankle arthrodesis. 206 Feb 33

Infection in total knee arthroplasty has been reported to range from 1.1% to 12.4%. The literature contains numerous articles on salvage procedures including antibiotic suppression, surgical debridement, resection arthroplasty, arthrodesis, reimplantation, and amputation. Of those knees not reimplantable, a successful arthrodesis is felt by many to give the most predictable long-term results. The majority of literature on arthrodesis for infected total knee arthroplasty concentrates on technical factors and techniques to facilitate fusion. A successful fusion is considered an end point of treatment.
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PMID:Persistent infection after successful arthrodesis for infected total knee arthroplasty. A report of two cases. 223 Aug 25

We have reviewed 15 patients with infected total knee replacements after removal of the prosthesis, rigorous debridement, antibiotic irrigation, and prolonged systemic antibiotics. Infection was permanently eradicated in all patients; they were left with a functioning limb, on which they could walk with either a caliper (8 patients), a simple splint (3), crutches, or sticks. Three were disappointed because of residual pain. We believe that, if exchange arthroplasty is inappropriate, this procedure is preferable to arthrodesis or amputation for persistent and disabling infection, particularly where constrained artificial joints have been used.
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PMID:Excision arthroplasty for infected constrained total knee replacements. 231 59

The results of 24 cases of deep wound infection after total knee arthroplasty were reviewed. Twenty-one knees were initially treated with irrigation and debridement. Infection recurred in 15 knees. An increased infection rate occurred after irrigation and debridement in patients in whom the index prosthesis was in place more than 2 weeks. Nine knees (including 7 that had removal after irrigation and debridement) were treated with removal of the infected prosthesis, intravenous antibiotics, and delayed reimplantation. Immediate exchange was done in one knee. There were no recurrences in this group (P less than .001). The final status of the patients included 8 with fusions or resection arthroplasties and 16 with a prosthesis. The average Hospital for Special Surgery knee rating was 41 in patients without a prosthesis and 75 in patients with a prosthesis (P less than .001). The authors conclude that irrigation and debridement is not likely to be successful for treatment of infections when used more than 2 weeks after the initial arthroplasty. Also, two-stage reimplantation for the treatment of infected total knee arthroplasties gives a reliably low recurrence rate and provides a superior clinical result, compared to arthrodesis or resection arthroplasty.
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PMID:Treatment of infected total knee arthroplasty. Irrigation and debridement versus two-stage reimplantation. 231 46

A new method of fixation of digital arthrodesis is being used at Atlanta Hospital. A total of 58 digits have been arthrodesed at the proximal interphalangeal joint using absorbable pin fixation. The technique of absorbable pin insertion, as well as the advantages and disadvantages, are discussed in this article. Infection, foreign body reaction, vascular compromise, or excessive swelling and edema were not evident in any of the 58 digits reviewed. The internal absorbable pin fixation is considered a viable alternative to previous forms of fixation for digital arthrodesis. The absorbable pin previously has been used for osteochondral fractures of the knee.
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PMID:Absorbable pin: a new method of fixation for digital arthrodesis. 233 71

In a retrospective study, the results of 76 patients treated by different methods for arthrodesis of the ankle joint were compared. With external-compression clamps, solid fusion was achieved in 48 patients after an average of 4.5 months, with lag-screw fixation in 25 patients after 3 months. The nonunion rate was only 4% in the group with external clamps, the followup time was 2 years (maximum 6 years, minimum 6 months). Eighty percent of the patients reported pain relief, 58% in the lag-screw reported being free of symptoms, 23% as did of the external-clamps group. Most of the complications after external fixation were related to pin-site infections (48%). Infection, instability and inability to undergo physiotherapy were the main problems after clamps. Arthrodesis with lag screws provides optimal biomechanical fixation, with early functional treatment and a fusion within 3 months. Compared to external clamps arthrodesis, the lag-screw group had fewer problems with skin and bone healing and could be discharged earlier.
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PMID:[Fixation or screws in arthrodeses of the upper ankle joint. A retrospective comparison of 76 patients]. 274 Sep 23

Simultaneous dislocation of the talus from the tibiotalar, talocalcaneal, and talonavicular joints is uncommon and usually occurs from considerable violence. Total dislocation of the talus is frequently an open injury, or the skin may be tented over the dislocated talus leading to skin slough. Infection and avascular necrosis may follow. Treatment options include closed or open reduction, talectomy, and arthrodesis. The following case and literature review illustrate some of the problems encountered and factors that influence the outcome of this injury.
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PMID:Total dislocation of the talus. Case report with a 13-year follow up and review of the literature. 305 Aug 5

Infection with Candida albicans of a total knee arthroplasty developed in an immunosuppressed 52-year-old woman with rheumatoid arthritis who initially presented with clear drainage from the incision, which cultured negative initially. Successful treatment consisted initially of debridement and a course of intravenous antibiotics, followed by staged arthrodesis with an intramedullary rod.
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PMID:Infection with Candida albicans of a total knee arthroplasty. Case report and review of the literature. 327 13


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