Revision Total Knee Arthroplasty in a Patient with Bilateral Below-the-Knee Amputation: A Case Report. Issue 4 (October 2015)

• Record Type: Journal Article
• Authors: Williams, M.G.; Phillips, J.; Eyres, K.
• Is Part Of: JBJS case connector. Volume 5:Issue 4(2015)
• Publication Date: 2015-10
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.N.00238
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Update: This article was updated on January 27, 2016. The byline, which had previously read "M.G. Williams, MBChB, and J. Phillips, MBBS, FRCS, " now reads "M.G. Williams, MBChB, J. Phillips, MBBS, FRCS, and K. Eyres, MD, FRCS(Tr&Orth)." In addition, the name, address, and e-mail address for Dr. Eyres have been added to the address block at the end of the article. An erratum has been published: JBJS Case Connect. 2016 Mar 23;6(1):e22. Case: We report the case of a patient with bilateral below-the-knee amputation who had a periprosthetic fracture around a total knee arthroplasty. The fracture was managed with a revision total knee arthroplasty. We discuss the rationale for revision surgery, the surgical techniques, and the postoperative rehabilitation. Follow-up at one year demonstrated maintenance of the pretrauma functional status. Conclusion: In selected patients with a periprosthetic fracture, we believe that revision of a total knee arthroplasty may be considered as an option rather than an above-the-knee amputation or an arthrodesis.