Resumo

CARDOSO, Hugo  e  SOUSA, Rodriguez de. Da artroscopia do joelho à artrodese com cavilha longa. Rev. Port. Ortop. Traum. [online]. 2013, vol.21, n.2, pp.221-230. ISSN 1646-2122.

We present the clinical case of a male patient with 47 years old with a history of patelar fracture 20 years ago with associated scar lesion. Was submitted for an Arthroscopy with the suspicion of a lesion in the lateral meniscus.  In the surgery we found a degenerative lesion of lateral meniscus and ostheocondral injury degree IV of “Outerbridge” from the external compartment. For keeping severe pain complaints undergoes Total Knee Arthroplasty. Two months later, after a skin necrosis starts an infection of total knee arthroplasty by “Staphylococcus epidermidis”, was submitted to antibiotic suppression according to T.S.A. with no response. Was submitted to surgery to remove the prosthesis, and placed an antibiotic cement spacer. One month later was operated again because a wound dehiscence suturing, one year after stabilization of the signals and cultures the patient had a fistula with adherent scar. We chose perform a Arthrodesis with femuro-tibial nail because of the bad skin conditions, post-operative ran well and arthrodesis was achieved at 12 weeks, currently makes motion without auxiliary. The knee Arthrodesis represents one of the final solutions to achieve a stable and painless knee, in chronic infection after total knee arthroplasty, can represent the only solution to save the member. With the right indication, the Arthrodesis strikes a painless knee, without need for future surgeries or long programs of rehabilitation

Palavras-chave : Arthroplasty; knee; infection; cement spacer; arthrodesis; long nail.

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