Arthrodesis of the Knee with Vascularized Fibular Graft - A Case of Infected Total Knee Arthroplasty -

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Journal of the Korean Society for Surgery of the Hand 2006;15(2):111-116.
Published online October 31, 2006.

Duke Whan Chung, M.D., Chung Soo Han, M.D., Jae Hoon Lee, M.D., Sun Teak Jeong, M.D., Jin Sung Park, M.D.

혈관 부착 비골 전위술을 이용한 슬관절 유합술 - 슬관절 전치환술 후 감염이 합병된 증례 -

정덕환, 한정수, 이재훈, 정선택, 박진성

Abstract

  An infection after total knee arthroplasty has many complications such as severe bone defect, skin and soft tissue problems, devastated general condition, so arthrodesis is preferred as treatment option. However, poor bony contact due to severe bone defect and inadequate conditions of the soft tissue often cause nonunion or severe limb shortening after arthrodesis. More over these conditions, it is not easy to choose appropriate fixative devices. In these situations, the arthrodesis using vascularized fibular graft can be the solution. Vascularized fibular graft (VFG) can play a role as a suitable material for the treatment of bone defects. And VFG can overcome poor blood circulation caused by scar tissues, and can be relatively more durable and adequate length. In the long term, VFG can be hypertrophied by weight bearing, and will give mechanical stablility. The purpose of the paper is to report the successful results of arthrodesis using VFG in a patient who got extensive bone defect after failed revision total knee arthroplasty with infection.

Key Words: Arthrodesis, Infected total knee arthroplasty, Vascularized fibular graft

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