Infection following total knee arthroplasty can be devastating. Even with established treatment protocols, eradication of the infection may not be feasible. We report 2 patients who required above-knee amputation to eradicate recalcitrant infection.
SalehKOlsonMResigSBershadskyBKuskowskiMGioeT, Predictors of wound infection in hip and knee joint replacement: Results from a 20 year surveillance program. J Orthop Res2002;20:506–15.
2.
TsukayamaDTEstradaRGustiloRB. Infection after total hip arthroplasty. A study of the treatment of one hundred and six infections. J Bone Joint Surg Am1996;78:512–23.
3.
SegawaHTsukayamaDTKyleRFBeckerDAGustiloRB. Infection after total knee arthroplasty. A retrospective study of the treatment of eighty-one infections. J Bone Joint Surg Am1999;81:1434–45.
4.
KendallRWDuncanCPSmithJANgui-YenJH. Persistence of bacteria on antibiotic loaded acrylic depots. A reason for caution. Clin Orthop Relat Res1996;329:273–80.
5.
MinelliE BertazzoniBeniniAMagnanBBartolozziP. Release of gentamicin and vancomycin from temporary human hip spacers in two-stage revision of infected arthroplasty. J Antimicrob Chemother2004;53:329–34.
6.
BlomAWBrownJTaylorAHPattisonGWhitehouseSBannisterGC. Infection after total knee arthroplasty. J Bone Joint Surg Br2004;86:688–91.
7.
SierraRJTrousdaleRTPagnanoMW. Above-the-knee amputation after a total knee replacement: Prevalence, etiology, and functional outcome. J Bone Joint Surg Am2003;85:1000–4.