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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| Published in | The Journal of arthroplasty Vol. 20; no. 1; pp. 72 - 78 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Elsevier Inc
2005
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| Subjects | |
| Online Access | Get full text |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Cooke, Francis W. McQueen, David A. Hahn, Dustan L. |
| Author_xml | – sequence: 1 givenname: David A. surname: McQueen fullname: McQueen, David A. organization: Orthopaedic Research Institute, Inc, Wichita, Kansas – sequence: 2 givenname: Francis W. surname: Cooke fullname: Cooke, Francis W. organization: Orthopaedic Research Institute, Inc, Wichita, Kansas – sequence: 3 givenname: Dustan L. surname: Hahn fullname: Hahn, Dustan L. organization: Orthopaedic Research Institute, Inc, Wichita, Kansas |
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| Cites_doi | 10.1097/00003086-198911000-00015 10.3928/0147-7447-19950401-10 10.2106/00004623-199173070-00009 10.1007/s00264-003-0514-1 10.1016/0883-5403(94)90115-5 10.1097/00007611-193209000-00005 10.1302/0301-620X.66B3.6725347 10.3928/0147-7447-19980801-10 10.1097/00002281-199305030-00009 10.2106/00004623-198870020-00019 10.1016/S0883-5403(96)80134-3 10.3109/17453678609014776 10.2106/00004623-199406000-00011 10.2106/00004623-199072030-00018 10.2106/00004623-199701000-00003 10.1097/00003086-198303000-00025 10.1097/00003086-198412000-00026 10.1097/00003086-198711000-00032 10.1111/j.1445-2197.1989.tb01486.x 10.2106/00004623-198769010-00007 10.2106/00004623-199602000-00004 |
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Surg. doi: 10.1111/j.1445-2197.1989.tb01486.x contributor: fullname: Goldberg – volume: 69 start-page: 39 year: 1987 ident: 10.1016/j.arth.2004.09.022_bib22 article-title: Failed total knee arthroplasty treated by arthrodesis of the knee using the Ace-Fischer apparatus publication-title: J. Bone Joint Surg. Am. doi: 10.2106/00004623-198769010-00007 contributor: fullname: Rand – volume: 78 start-page: 185 year: 1996 ident: 10.1016/j.arth.2004.09.022_bib7 article-title: Resection arthrodesis of the knee with an intercalary allograft publication-title: J. Bone Joint Surg. Am. doi: 10.2106/00004623-199602000-00004 contributor: fullname: Weiner |
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