HOW MANY REVISION ARTHROPLASTIES DO WE UNDERTAKE PRIOR TO ARTHRODESIS? (CASE REPORT OF A PATIENT WITH RHEUMATOID KNEE ARTHRITIS)

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Abstract

The authors present a clinical case of a female patient with seropositive rheumatoid polyarthritis mainly affecting the knee joints. The patient underwent a primary total bilateral knee replacement. Surgical site infection required multiple revisions including replacement of extensive bone defects of AORI type 3 by structural femur and tibia allografts as well as allografting of extensor mechanism. Repeated attempts to eliminate infection, to gain support ability of extremities and joints motion were not successful. Long-term staged surgical treatment resulted in removal of prostheses and bilateral knee arthrodesis to restore support function of the extremities.

About the authors

T. A. Kulyaba

Vreden Russian Research Institute of Traumatology and Orthopaedics .

Author for correspondence.
Email: fake@neicon.ru

Taras A. Kulyaba — Dr. Sci. (Med), head of Knee Pathology Department.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

N. N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopaedics; Mechnikov North-Western State Medical University .

Email: fake@neicon.ru

Nikolai N. Kornilov — Dr. Sci. (Med), professor of Chair of Traumatology and Orthopedics; associate professor, Department of Traumatology and Orthopedics.

8, ul. Akad. Baykova, 195427, St. Petersburg; 41, Kirochnaya ul., 191015, St. Petersburg.

Russian Federation

I. I. Croitoru

Vreden Russian Research Institute of Traumatology and Orthopaedics.

Email: fake@neicon.ru

Iosif I. Croitoru — Cand. Sci. (Med), researcher, Knee Pathology Department.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

L. N. Solomin

Vreden Russian Research Institute of Traumatology and Orthopaedics; St. Petersburg State University

Email: fake@neicon.ru

Leonid N. Solomin — Dr. Sci. (Med.), professor, head of Functional Group of External Fixation; pro-fessor of the Surgery Chair, Medical Faculty.

8, ul. Akad. Baykova, 195427, St. Petersburg; 8а, 21 Liniya V.O., 199106, St. Petersburg.

Russian Federation

G. Yu. Bovkis

Vreden Russian Research Institute of Traumatology and Orthopaedics.

Email: fake@neicon.ru

Gennady Yu. Bovkis — researcher, Knee Pathology Department.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

K. L. Korchagin

Vreden Russian Research Institute of Traumatology and Orthopaedics.

Email: fake@neicon.ru

Konstantin L. Korchagin — researcher.

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

P. P. Ivanov

Vreden Russian Research Institute of Traumatology and Orthopaedics.

Email: fake@neicon.ru

Pavel P. Ivanov — orthopedic surgeon, Trauma and Orthopedic Department N 17, 

8, ul. Akad. Baykova, 195427, St. Petersburg.

Russian Federation

References

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