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Knee Arthrodesis with Internal Fixation
Reasons for Procedure
- After a failed knee replacement
- In patients with chronic joint infections that have led to severe knee damage
- In patients with debilitating pain that cannot be resolved by other treatment options
|Joint Damage Due to Arthritis|
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- Excess bleeding
- Adverse reaction to anesthesia such as light-headedness, low blood pressure, wheezing
- Blood clots
- Loosening of components is possible in patients with poor bone quality
- Aggravation of current medical conditions
- The thigh and shin bones do not join together as expected
- Some chronic diseases, like obesity or diabetes
- Heavy alcohol use
What to Expect
Prior to Procedure
- Physical exam
- Blood tests
- Imaging tests, like x-rays or scans
- Electrocardiogram for heart function
- Have you donate blood in case you need a transfusion
- Prescribe antibiotics to prevent infection
- Arrange for a ride home.
- Arrange for help at home while you recover.
- Talk to your doctor about any medications, herbs, or supplements you are taking.
- Talk to your doctor about any allergies you have.
- Ask your doctor about devices you will need after the surgery like a wheelchair, walker, or cane.
- Anti-inflammatory drugs
- Blood thinners
Description of the Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Pain medication
- Antibiotics to prevent infection
- Medication that prevents blood clots
- Follow your doctor’s instructions on cleaning the incision site.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Follow your doctor’s instructions on sitting, bending, or sleeping positions.
- Continue with your physical therapist’s exercise program.
Call Your Doctor
- Signs of infection such as fever or chills
- Problems at the incision site such as redness, swelling, pain, bleeding, or draining
- Nausea or vomiting
- Pain that does not go away with the pain medicine
- Numbness or tingling in lower leg
- Chest pain or trouble breathing
American Academy of Orthopaedic Surgeons http://aaos.org
Arthritis Foundation http://www.arthritis.org
Canadian Orthopaedic Association http://www.coa-aco.org
The Arthritis Society http://www.arthritis.ca
Bono James, Talmo Carl, et al. Arthrodesis of the Knee: Indications and Treatment Options. Techniques in Knee Surgery . 2009;8(4):212-215.
Fusion (Arthrodesis). Knee 1 website. Available at: http://www.knee1.com/Education%5FCenter/Therapies/Fusion%5FArthrodesis. Updated October 26, 2001. Accessed January 16, 2013.
Hospital Admission and Your Medications Before Surgery. http://www.keggiorthosurgery.com/Hospital%5FAdmission%5FAnd%5FYour%5FMedications.php . Accessed January 16, 2013.
Joint Revision Surgery-When Do I Need It? American Academy of Orthopaedic Surgeons OrthoInfo website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00510 . Updated September 2007. Accessed January 16, 2013.
Knee Arthrodesis. Bone and Spine website. Available at: http://boneandspine.com/non-traumatic-disorders/joints/knee-arthrodesis/ . Updated November 14, 2011. Accessed January 16, 2013.
Knee Fusion. Knee Guru website. Available at: http://www.kneeguru.co.uk/KNEEnotes/node/1844 . Accessed January 23, 2013.
Knee Fusion for Irretrievably Failed Total Knee Replacement. About Joints website. Available at: http://aboutjoints.com/physicianinfo/topics/fusionknee/kneefusion.htm . Accessed January 16, 2013.
Revision Hip and Knee Surgery. Orthopaedics New England website. Available at: http://www.keggiorthosurgery.com/Revision%5FHip%5FAnd%5FKnee%5FSurgery.php . Accessed January 16, 2013.
Surgical Wound Infection. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us . Updated November 30, 2012. Accessed January 16, 2013.
Talmo CT, Bono JV, et al. Intramedullary Arthrodesis of the Knee in the Treatment of Sepsis after TKR. HSS J . 2007;3(1):83-88.