Removal and successful re-implantation of a customized interpositional knee device following an early postoperative infection: A case report

Koeck, Franz Xaver and Rath, Bjoern and Springorum, Hans-Robert and Tingart, Markus and Grifka, Joachim and Beckmann, Johannes (2010) Removal and successful re-implantation of a customized interpositional knee device following an early postoperative infection: A case report. CENTRAL EUROPEAN JOURNAL OF MEDICINE, 5 (4). pp. 442-446. ISSN 1895-1058,

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Abstract

We report the first case of early postoperative infection after a medial hemiarthroplasty of the knee with a customized ConforMIS iForma (TM) interpositional device. The infection was treated successfully by revision surgery with implant removal and antibiotic therapy. Despite the additional diagnosis of rheumatoid arthritis that did not affect the treated knee, the preservation of bony and ligamentous structures enabled a successful re-implantation of another iForma (TM) implant 9 months later with good clinical results at follow-up examination 1 year postoperatively. This is very much in contrast to the extensive and complex revision surgery, with significant bone loss, in patients with infected unicompartmental or total knee arthroplasties. The iForma (TM) device may be an alternative treatment option in early and moderate unicompartmental arthritis of the knee, with easy revision with the same type of implant in the rare case of infection.

Item Type: Article
Uncontrolled Keywords: HEMIARTHROPLASTY; ARTHROPLASTY; ARTHRITIS; MCKEEVER; PROSTHESIS; WOMAC; Unicompartmental osteoarthritis; Knee interpositional device; Hemiarthroplasty; Complication
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 20 Jul 2020 07:15
Last Modified: 20 Jul 2020 07:15
URI: https://pred.uni-regensburg.de/id/eprint/24357

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