ArticleWorld journal of orthopedics2026
Cephalomedullary fusion nails for treatment of infected stemmed revision total knee arthroplasty: Four case reports.
Article in World journal of orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSalvage of the infected long stem revision total knee arthroplasty is challenging due to the presence of well-fixed ingrown or cemented stems. Reconstructive options are limited. Above knee amputation (AKA) is often recommended. We present a surgical technique that was successfully used on four such patients to convert them to a knee fusion (KF) using a cephalomedullary nail. CASE SUMMARY: Four patients with infected long stem revision knee replacements that refused AKA had a single stage removal of their infected revision total knee followed by a KF. They were all treated with a statically locked antegrade cephalomedullary fusion nail, augmented with antibiotic impregnated bone cement. All patients had successful limb salvage and were ambulatory with assistive devices at the time of last follow-up. All were infection free at an average follow-up of 25.5 months (range 16-31).
conclusionSingle stage cephalomedullary nailing can result in a successful KF in patients with infected long stem revision total knees.
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