Rhidian Morgan-Jones1. 1. University Hospital Llandough & Spire Hospital, Cardiff, United Kingdom; Schoen Clinic Orthopaedic and Spinal Hospital, 66 Wigmore Street, London W1U 2SB, United Kingdom; Schoen Clinic Orthopaedic and Spinal Hospital, London 66, Wigmore Street, London W1U 2SB. Electronic address: cardiffkneeclinic@gmail.com.
Abstract
BACKGROUND: As part of a session on the infected knee replacement at the British Orthopaedic Association congress in Liverpool, 2019, this topic was delivered as a lecture. The content and ideas of the lecture have been expanded to produce this article. METHODS: One-stage revision total knee replacement is not a new concept but remains controversial. This article is not written to persuade any surgeon to undertake the procedure but to simply give a working framework for how one surgeon performs the operation. We will cover the philosophy underpinning the rationale for single-stage revision (not 2-in-1 revision) including extensile exposure, a defined debridement protocol, reconstruction and fixation, antibiotic delivery and exclusion criteria. RESULTS: None. CONCLUSION: The techniques outlined in this article should give confidence that one-stage revision knee replacement is a viable option when working within a multi-disciplinary team structure. Crown
BACKGROUND: As part of a session on the infected knee replacement at the British Orthopaedic Association congress in Liverpool, 2019, this topic was delivered as a lecture. The content and ideas of the lecture have been expanded to produce this article. METHODS: One-stage revision total knee replacement is not a new concept but remains controversial. This article is not written to persuade any surgeon to undertake the procedure but to simply give a working framework for how one surgeon performs the operation. We will cover the philosophy underpinning the rationale for single-stage revision (not 2-in-1 revision) including extensile exposure, a defined debridement protocol, reconstruction and fixation, antibiotic delivery and exclusion criteria. RESULTS: None. CONCLUSION: The techniques outlined in this article should give confidence that one-stage revision knee replacement is a viable option when working within a multi-disciplinary team structure. Crown
Authors: Mustafa Akkaya; Georges Vles; Iman Godarzi Bakhtiari; Amir Sandiford; Jochen Salber; Thorsten Gehrke; Mustafa Citak Journal: Int Orthop Date: 2022-01-04 Impact factor: 3.075