Results of total knee arthroplasty following takedown of formal knee fusion

J Arthroplasty. 1996 Sep;11(6):732-7. doi: 10.1016/s0883-5403(96)80013-1.

Abstract

Seventeen cases of knee fusion takedown with follow-up periods of 1 to 10 years have been reviewed. Two patients were re-fused for patellar tendon loss and sepsis. One had a chronic low-grade infection but refused re-fusion. Two patients who required immobilization for the first 10 days following total knee arthroplasty had a range of flexion of 35 degrees only. The mean range of flexion in the other patients in 84 degrees. Using The Hospital for Special Surgery rating, 29.4% scored excellent, 29.4% good, 17.6% fair, and 17.6% poor, including the two patients refused. Complications were found in nine patients (53%), six of which were resolved with further surgery. All patients preferred the mobile knee, but the complication rate is so high that the authors remain ambivalent about this procedure.

MeSH terms

  • Aged
  • Female
  • Humans
  • Knee Joint / surgery*
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Postoperative Complications
  • Range of Motion, Articular
  • Reoperation
  • Treatment Outcome