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Posterior dislocation of a cruciate-retaining total knee arthroplasty following an acute bacterial infection

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Abstract

Background

We report a rare complication of posterior dislocation of a cruciate-retaining total knee arthroplasty following an acute bacterial infection. The mechanism of dislocation proved to be septic loosening of the femoral component and a tear of the posterior cruciate ligament near to the femoral insertion site. The tear arose during the treatment of acute septic arthritis following total knee arthroplasty when the patient attempted full weight-bearing with the affected limb in a semiflexion position and twisted the knee.

Methods and results

Successful treatment was provided with subsequent surgical debridement, removal of the loosened prosthesis, the application of systemic antibiotics, and a revision total knee arthroplasty utilizing a posteriorly stabilized prosthesis after adequate control of the infection.

Conclusion

Soft-tissue protection from full weight-bearing of the knee during the treatment of an acute infection following total knee arthroplasty and timely removal of the loosened total knee prosthesis are recommended in order to prevent such a complication.

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References

  1. Goldberg VM, Figgie MP, Figgie HE, Heiple KG, Sobel M (1988) Use of a total condylar knee prosthesis for treatment of osteoarthritis and rheumotoid arhtritis: long-term results. J Bone Joint Surg Am 70:802–811

    CAS  PubMed  Google Scholar 

  2. Insall J, Scott WN, Ranawat CS (1979) The total condylar knee prosthesis: a report of two hundred and twenty cases. J Bone Joint Surg Am 73:173–180

    Google Scholar 

  3. Sledge CB, Ewald FC (1979) The total knee arthroplasty experience at the Robert Breck Brigham Hospital. Clin Orthop 145:78–84

    PubMed  Google Scholar 

  4. Cameron HU, Hunter GA (1982) Failure in total knee arthroplasty. Clin Orthop 170:141–146

    PubMed  Google Scholar 

  5. Oostenbroek HJ, Roermund PM van (2001) Arthrodesis of the knee after an Infected arthroplasty using the Ilizarov method. J Bone Joint Surg Br 83:50–54

    CAS  PubMed  Google Scholar 

  6. Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop 248:13–14

    PubMed  Google Scholar 

  7. Bargren JN (1980) Total knee dislocation due to rotatory malalignment of tibial component: a case report. Clin Orthop 147:271–274

    PubMed  Google Scholar 

  8. Den Hartog BD, McQueen DA, Garcia GO (1987) Traumatic posterior dislocation of semiconstrained total knee arthroplasty: a case report. Contemp Orthop 15:41–44

    Google Scholar 

  9. Galinat BJ, Vernace JV, Booth RE, Rothman RH (1988) Dislocation of the posterior stabilized total knee arthroplasty: a report of two cases. J Arthroplasty 3:363–367

    CAS  PubMed  Google Scholar 

  10. Gebhard JS, Kilgus DJ (1990) Dislocation of a posterior stabilized total knee prosthesis: a report of two cases. Clin Orthop 254:225–229

    PubMed  Google Scholar 

  11. Ochsner JL, Kostman WC, Dodson M (1996) Posterior dislocation of the posterior stabilized total knee arthroplasty: a report of two cases. Am J Orthop 25:310–312

    PubMed  Google Scholar 

  12. Sharkey PF, Hozack WJ, Booth RE (1992) Posterior dislocation of total knee arthroplasty. Clin Orthop 278:128–133

    PubMed  Google Scholar 

  13. Lombardi AV, Mallory TH, Vaughn BK, Krugel R (1993) Dislocation following posterior stabilized total knee arthroplasty. J Arthroplasty 8:633–639

    PubMed  Google Scholar 

  14. Wang CJ, Wang HE (1997) Dislocation of total knee arthroplasty: a report of 6 cases with 2 patterns of instability. Acta Orthop Scand 68:282–285

    CAS  PubMed  Google Scholar 

  15. Bengtson S, Knutson K, Lidgren L (1989) Treatment of infected knee arthroplasty. Clin Orthop 245:173–178

    PubMed  Google Scholar 

  16. Morrey BF, Westholm F, Schoifet S, Rand JA, Bryan RS (1989) Long-term results of various treatment options for infected total knee arthroplasty. Clin Orthop 248:120–128

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

    Cheng-Mien Chu, Shyu-Jye Wang & Shing-Sheng Wu

Authors
  1. Cheng-Mien Chu
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  2. Shyu-Jye Wang
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  3. Shing-Sheng Wu
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Correspondence to Shyu-Jye Wang.

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Chu, CM., Wang, SJ. & Wu, SS. Posterior dislocation of a cruciate-retaining total knee arthroplasty following an acute bacterial infection. Arch Orthop Trauma Surg 123, 121–124 (2003). https://doi.org/10.1007/s00402-003-0489-9

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  • DOI: https://doi.org/10.1007/s00402-003-0489-9

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