Simultaneous removal of retained metal hardware during primary knee Arthroplasty
الكلمات المفتاحية:
Total Knee Arthroplasty، Hardware Removal، Simultaneous Surgeryالملخص
Background:
Retained hardware is usually removed during TKR only if no infection is present. We follow clinical and lab criteria to rule out infection and proceed in one session.
Methods:
In 39 cases, hardware was removed during primary TKR. Most staplers were taken out through the main incision; blade plates needed separate lateral incisions. One tibial nail was partially removed: one DCS plate through lateral dissection.
Results:
No infections at 6 months. Dropout rate 5%. Over 10 years, no late complications, skin necrosis, or fractures were noted. No metallosis observed.
Conclusion:
Simultaneous hardware removal during TKR is safe and effective when infection is excluded, and proper planning is followed.
المراجع
. Cook SD, Renz EA, Barrack RL, Thomas KA, Harding AF, Haddad RJ Jr., Millicic M: Clinical and metallurgical analysis of retrieved internal fixation devices. Clin Orthop Res 1985, 235-247
. Papadopoulos, P., et al. (2012). Total knee arthroplasty after prior fracture and hardware placement: Outcomes and complications. Journal of Arthroplasty, 27(8), 1550-1556.
[Discusses the outcomes of TKR following internal fixation.]
. Jassim, S. S., et al. (2014). Total knee replacement following tibial plateau fractures: a systematic review. Journal of Knee Surgery, 27(03), 199-204.
[Systematic review of TKR outcomes after fractures that often involve hardware.]
. Lizaur-Utrilla, A., et al. (2014). Total knee arthroplasty in patients with retained femoral hardware: Is hardware removal necessary? The Journal of Arthroplasty, 29(6), 1143-1147.
[Explores whether removing hardware before TKR is needed.]
. Wright, D., et al. (2011). Outcomes of total knee arthroplasty after distal femoral fracture: Is prior hardware a risk? Orthopedics, 34(5), e240-e245.
[Analyzes TKR outcomes after distal femur fractures.]
. Saleh, K. J., et al. (2002). Total knee arthroplasty in post-traumatic arthritis: A review. Journal of Arthroplasty, 17(4), 567-572.
[Looks at post-traumatic arthritis requiring TKR, often related to previous hardware]
التنزيلات
منشور
كيفية الاقتباس
إصدار
القسم
الرخصة
الحقوق الفكرية (c) 2025 Mustafa Elsagier ، Abd algafor alsadi

هذا العمل مرخص بموجب Creative Commons Attribution 4.0 International License.