Intramedullary Compression Arthrodesis of the Knee

The irretrievably failed total knee arthroplasty is the primary indication for knee arthrodesis. Because this difficult condition is relatively rare, an intramedullary arthrodesis system was developed which requires minimal surgeon experience for successful use. The new system called the Wichita Fus...

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Bibliographic Details
Published inThe Journal of arthroplasty Vol. 20; no. 1; pp. 72 - 78
Main Authors McQueen, David A., Cooke, Francis W., Hahn, Dustan L.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 2005
Subjects
intramedullary rod
knee arthrodesis
knee fusion
intramedullary rod
knee fusion
knee arthrodesis
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Summary:The irretrievably failed total knee arthroplasty is the primary indication for knee arthrodesis. Because this difficult condition is relatively rare, an intramedullary arthrodesis system was developed which requires minimal surgeon experience for successful use. The new system called the Wichita Fusion Nail was implanted by a single surgeon in 13 consecutive patients: 11 for arthrodesis alone, 1 for stabilization of a supracondylar fracture nonunion, and 1 for arthrodesis coupled with a supracondylar fracture nonunion. All arthrodesis attempts were successful. The average fusion time was 15.2 weeks except for 2 infected delayed arthrodeses. Both fracture nonunions persisted and went on to amputation. The WFN provides a simple arthrodesis system with minimal technique dependence and a high potential for success.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2004.09.022