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Author Topic: Fused knee conversion with TKR in a 20yr old, where and with whom?  (Read 1379 times)

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Offline zjemi

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Dear Knee Knowledgeable:

My student had a serious bike accident at age 10. Infection set in and her knee was fused to save the leg. Leg lengths were adjusted in later operations. She had to give up soccer and all other activities except swimming. Now at age 20 she would really like to be able to bend her knee and do activities that this will enable. I've read that fused knees have been converted, and that the procedure, while difficult and carrying some risk, can restore function fairly well. The main paper I can find describing the procedure is from Korea.

I'd be grateful for any leads to orthopedic surgeons experienced in this procedure who are located in North America.

Thank you in advance for any useful information.

--Zjemi

Offline ATsoccergirl

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Re: Fused knee conversion with TKR in a 20yr old, where and with whom?
« Reply #1 on: June 14, 2007, 10:15:11 PM »
Your best bet would be to look for a large teaching hospital.  They are generally the most up to date regarding treatments and are more likely to perform experiamental or risky treatments than someone in private practice.  Here is a list of the top orthopedic hospitals as compiled by Newsweek magazine:

http://health.usnews.com/usnews/health/best-hospitals/rankings/specihqorth.htm

Just check around with some of these hospitals and hopefully you will be able to find some answers to help your student.

Here are some further articles that may help (let me know if the links don't work)

http://www.ejbjs.org/cgi/content/full/86/4/835#SEC9
http://www.medscape.com/medline/abstract/16156465
http://www.ncbi.nlm.nih.gov/sites/entrez?db=PubMed&cmd=retrieve&dopt=abstract&list_uids=10593244

Total knee arthroplasty after formal knee fusion using unconstrained and semiconstrained components A report of 7 cases. 
The Journal of Arthroplasty, Volume 16, Issue 6, Pages 768-776
T. Henkel


I hope these help
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.